KYLE L LIDGE

BRANDON, FL
NPI1902164858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11209)
Enumeration Date2012-04-29
Last Update Date2012-04-29
Business Address
-- KYLE L LIDGE LMHC
1117 VINETREE DR
BRANDON, FL 33510-2087
Phone number: 813-703-5366
Mailing Address
-- KYLE L LIDGE LMHC
1109 N PARSONS AVE
BRANDON, FL 33510-3105
Phone number: 813-662-4214
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