Individual
DANIELLE CHESSER TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, LCASA
Contact information
Practice address
320 EDEN ISLES BLVD, SLIDELL, LA 70458-5570
(336) 690-3403
Mailing address
320 EDEN ISLES BLVD, SLIDELL, LA 70458-5570
(336) 690-3403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17591
LA
1041C0700X
Clinical Social Worker
C010252
NC
1041C0700X
Clinical Social Worker
P008996
NC
Other
Enumeration date
03/13/2015
Last updated
06/27/2023
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