Individual
DAN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 STEWARD RD, MONSON, ME 04464-7027
(207) 876-6157
Mailing address
319 STEWARD RD, MONSON, ME 04464-7027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4522
ME
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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