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Symone Lyles

Social Worker, Clinical in Upper Marlboro, MD. Individual provider (NPI-1).

NPI number1366909293
StatusActive
Last updated in NPPESFeb 27, 2019

Details

NPI
1366909293
Entity type
Individual (NPI-1)
Name
Symone Lyles
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2019
Last updated
Feb 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical21770MDYes

Practice location

13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088

Phone 240-681-6000

Mailing address

13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088

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