MEDICARE: SAYLON PERFORMANCE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1417709957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYLON PERFORMANCE PLLC

Provider Business Mailing Address
First Line	:	5247 SUNDOWN DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-3286
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5247 SUNDOWN DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-3286
Country	:	US
Telephone Number	:	910-479-6385
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	KYLAH C SAYLON
Credential	:	MSW, LCSWA
Telephone Number	:	910-479-6385

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	04/05/2024

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