Individual
MR. CHRISTOPHER L TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 MOUNTAIN RD, SHOKAN, NY 12481-5307
(215) 341-9516
Mailing address
18 MOUNTAIN RD, SHOKAN, NY 12481-5307
(215) 341-9516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097860
NY
Other
Enumeration date
08/09/2020
Last updated
06/18/2024
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