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Individual

JILL-KRISTI TYLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1615 YORK RD, SUITE 302, LUTHERVILLE, MD 21093-5600
(410) 428-9869
Mailing address
3706 YOLANDO RD, BALTIMORE, MD 21218-2041
(410) 428-9869

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11372
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225577
COMPSYCH
MD
01
374BJ
BCBS
MD
Enumeration date
09/23/2006
Last updated
07/08/2007
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