Individual
TYLER THOMPSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
199 COUNTY DF, JUNEAU, WI 53039-9512
(920) 386-3500
Mailing address
504 MIDGE ST, JOHNSON CREEK, WI 53038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12097-123
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/13/2023
Last updated
02/26/2025
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