Individual
KRYSTAL TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 LYNN LN, STARKVILLE, MS 39759-4412
(662) 228-5966
Mailing address
1612 W CHURCH HILL RD, WEST POINT, MS 39773-9268
(662) 494-1530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8175
MS
Other
Enumeration date
02/14/2019
Last updated
03/30/2022
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