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1063116507
KYLE E GAISFORD
HICKORY, NC
NPI
1063116507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 28300)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
KYLE E GAISFORD LCSA-A
1170A FAIRGROVE CHURCH RD
HICKORY, NC 28602-9695
Phone number: 828-464-1172
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Mailing Address
KYLE E GAISFORD LCSA-A
1170A FAIRGROVE CHURCH RD
HICKORY, NC 28602-9695
Phone number: 828-464-1172
Copy
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