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1174902001
JEFFREY LYNN TYLER
BREAUX BRIDGE, LA
NPI
1174902001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3966)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- JEFFREY LYNN TYLER LCSW
1069 MELANCON DR
BREAUX BRIDGE, LA 70517-7125
Phone number: 337-205-8774
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Mailing Address
-- JEFFREY LYNN TYLER LCSW
1069 MELANCON DR
BREAUX BRIDGE, LA 70517-7125
Phone number: 337-205-8774
Copy
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