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1700489978
TYLER JAMES BRENT
MANDEVILLE, LA
NPI
1700489978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 14340)
Enumeration Date
2020-11-19
Last Update Date
2021-07-08
Business Address
TYLER JAMES BRENT LCSW
2810 E CAUSEWAY APPROACH
MANDEVILLE, LA 70448-3502
Phone number: 985-898-7420
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Mailing Address
TYLER JAMES BRENT LCSW
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000
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