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Individual

MR. ALEXANDER TYLER MALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LISW-S

Contact information

Practice address
4301 DARROW RD STE 1450, STOW, OH 44224-2674
(216) 264-7822
Mailing address
911 GRAHAM RD STE 45, BOX #145, CUYAHOGA FALLS, OH 44221-1171
(216) 215-4913

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165228
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
S1802042
OH
1041C0700X
Clinical Social Worker
Primary
I.2304824-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0038984
OH
Enumeration date
11/09/2017
Last updated
05/16/2025
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