Individual
LISA G TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4847 E VIRGINIA ST, EVANSVILLE, IN 47715-2611
(812) 491-6000
Mailing address
4847 E VIRGINIA ST, EVANSVILLE, IN 47715-2611
(812) 491-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33000596A
IN
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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