Ed Davis Lyles, LCSW

NPI #1265655427 in Evanston, Wyoming

Provider Information

NPI Number
1265655427
Entity Type
Individual
Name
Ed Davis Lyles, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 10, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
350 CITY VIEW DR
Address 2
#302
State
Wyoming
ZIP Code
82930-5327
Phone
(307) 789-7915

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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