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Individual

TYLER PATRICK

Active
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Individual

TYLER PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7997802-3902
UT
106H00000X
Marriage & Family Therapist
MFTI-3914
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807372200
—
ID
Enumeration date
01/14/2008
Last updated
05/05/2020
About Stedi
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