Individual
JUDI A. TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3141 N 3RD AVE, PHOENIX, AZ 85013-4345
(602) 406-6433
(602) 406-4270
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-11393
AZ
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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