Individual
TYLER D SWIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4710 CHAMPIONS TRACE LN, #107, LOUISVILLE, KY 40218-3495
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252296
KY
Other
Enumeration date
09/18/2012
Last updated
10/18/2016
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