Most Relevant Information
Provider Data
NPI Number: | 1003535790 |
Provider Name: | KAITLYN LOUISE KYLUS LMSW |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 29089 |
Most Important Dates
Enumeration Date: | 08/25/2022 |
Last Updated: | 08/25/2022 |
Provider Practice Location
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA
MD
210446278
Practice Location Phone/Fax
Phone: | 4107408066 |
Fax: | 4107408068 |
Provider Mailing Location
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA
MD
210446278
Provider Mailing Phone/Fax
Phone: | 4107408066 |
Fax: | 4107408068 |