Individual
LISA M TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
Mailing address
619 VANHOY DR, GREENWOOD, IN 46142-9068
(317) 289-0396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004783A
IN
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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