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1104176080
TYLER D SWIM
LOUISVILLE, KY
NPI
1104176080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252296)
Enumeration Date
2012-09-18
Last Update Date
2016-10-18
Business Address
-- TYLER D SWIM LCSW
4710 CHAMPIONS TRACE LN #107
LOUISVILLE, KY 40218-3495
Phone number: 502-589-8600
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Mailing Address
-- TYLER D SWIM LCSW
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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