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1679099055
KYLE ROUSSEY
KOKOMO, IN
NPI
1679099055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007881A)
Enumeration Date
2017-08-17
Last Update Date
2020-12-01
Business Address
KYLE ROUSSEY LCSW
322 N MAIN ST
KOKOMO, IN 46901-4622
Phone number: 765-453-8555
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Mailing Address
KYLE ROUSSEY LCSW
6626 E 75TH ST
INDIANAPOLIS, IN 46250-2805
Phone number:
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