Individual
MRS. LESLEY ANN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
69 HIGH ST, DOVER FOXCROFT, ME 04426-1270
(207) 564-4567
Mailing address
69 HIGH ST, DOVER FOXCROFT, ME 04426-1270
(207) 564-4567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13781
ME
Other
Enumeration date
09/04/2012
Last updated
08/02/2021
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