Individual
MS. JOWANDA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2025 E MAIN ST STE 208, RICHMOND, VA 23223-7073
(804) 447-0193
Mailing address
2620 SHERBOURNE RD, NORTH CHESTERFIELD, VA 23237-1141
(804) 980-3445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009517
VA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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