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1366146318
CHEYENNE KILEY PORT
LEBANON, PA
NPI
1366146318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW022835)
Enumeration Date
2023-03-27
Last Update Date
2023-05-10
Business Address
CHEYENNE KILEY PORT MSW, LCSW
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-381-9924
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Mailing Address
CHEYENNE KILEY PORT MSW, LCSW
283 DUKE ST
EPHRATA, PA 17522-2032
Phone number: 717-381-9924
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