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1124555438
KATIE JANESSA TYLER
AUGUSTA, ME
NPI
1124555438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC16433)
Enumeration Date
2017-05-17
Last Update Date
2022-03-30
Business Address
KATIE JANESSA TYLER LCSW
18 MEADOW RD
AUGUSTA, ME 04330-4915
Phone number: 207-441-4482
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Mailing Address
KATIE JANESSA TYLER LCSW
PO BOX 5641
AUGUSTA, ME 04332-5641
Phone number: 207-623-1898
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