KENNETH LYLES

CLEVELAND, OH
NPI1144724220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  166156)
Enumeration Date2018-03-22
Last Update Date2018-03-22
Business Address
KENNETH LYLES
11100 SAINT CLAIR AVE
CLEVELAND, OH 44108-1943
Phone number: 216-664-2904
Mailing Address
KENNETH LYLES
11100 SAINT CLAIR AVE
CLEVELAND, OH 44108-1943
Phone number: 216-664-2904
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