Individual
MRS. ALTHEA M KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBSW, LLPC,QMHP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009679
MI
104100000X
Social Worker
6802084173
MI
171M00000X
Case Manager/Care Coordinator
6401009679
MI
171M00000X
Case Manager/Care Coordinator
6802084173
MI
Other
Enumeration date
04/25/2013
Last updated
07/25/2019
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