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1265655427
ED DAVIS LYLES
EVANSTON, WY
NPI
1265655427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-408)
Enumeration Date
2007-04-10
Last Update Date
2007-07-09
Business Address
-- ED DAVIS LYLES LCSW
350 CITY VIEW DR #302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
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Mailing Address
-- ED DAVIS LYLES LCSW
350 CITY VIEW DR #302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
Copy
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