Individual
KAREN A TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
523 WESTERN AVE, HAMPDEN, ME 04444-1034
(207) 478-1557
Mailing address
523 WESTERN AVE, HAMPDEN, ME 04444-1034
(207) 478-1557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13143
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E400715173
—
ME
Enumeration date
12/01/2009
Last updated
05/06/2021
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