Individual
MS. MARY LAWRENCE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1788 CAL YOUNG RD, #185, EUGENE, OR 97401-7638
(808) 284-6053
Mailing address
1788 CAL YOUNG RD, #185, EUGENE, OR 97401-7638
(808) 284-6053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3808-LCSW
AZ
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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