Jeffrey Lynn Tyler, LCSW

NPI #1174902001 in Breaux Bridge, Louisiana

Provider Information

NPI Number: 1174902001
Entity Type: Individual
Name: Jeffrey Lynn Tyler, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 1069 MELANCON DR
City: Breaux Bridge
State: Louisiana
ZIP Code: 70517-7125
Phone: (337) 205-8774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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