Individual
LATASHA N TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 E LOGAN ST, CALDWELL, ID 83605-4882
(208) 454-1480
Mailing address
698 N SILTSTONE AVE, KUNA, ID 83634-2475
(208) 473-6448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
05/09/2022
Last updated
01/13/2026
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