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1144724220
KENNETH LYLES
CLEVELAND, OH
NPI
1144724220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 166156)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
KENNETH LYLES
11100 SAINT CLAIR AVE
CLEVELAND, OH 44108-1943
Phone number: 216-664-2904
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Mailing Address
KENNETH LYLES
11100 SAINT CLAIR AVE
CLEVELAND, OH 44108-1943
Phone number: 216-664-2904
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