Individual
GWENDOLYN T TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
77 EAST LN, WILLINGBORO, NJ 08046-2251
(609) 424-6677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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