TYLER D SWIM

LOUISVILLE, KY
NPI1104176080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  252296)
Enumeration Date2012-09-18
Last Update Date2016-10-18
Business Address
-- TYLER D SWIM LCSW
4710 CHAMPIONS TRACE LN #107
LOUISVILLE, KY 40218-3495
Phone number: 502-589-8600
Mailing Address
-- TYLER D SWIM LCSW
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: