Katie Janessa Tyler, LCSW

NPI #1124555438 in Augusta, Maine

Provider Information

NPI Number
1124555438
Entity Type
Individual
Name
Katie Janessa Tyler, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 17, 2017
Last Updated
Mar 30, 2022

Practice Location

Address
18 MEADOW RD
State
Maine
ZIP Code
04330-4915
Phone
(207) 441-4482

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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