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Individual

MRS. ANGELA RENAE TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
495 E MAIN ST, COLUMBUS, OH 43215-5349
(614) 980-9811
(614) 355-8056
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0030951
OH

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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