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1780993931
GERALD WAYNE TYLER
DETROIT, MI
NPI
1780993931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801081892)
Enumeration Date
2010-10-05
Last Update Date
2024-05-22
Business Address
Mr. GERALD WAYNE TYLER LMSW
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-348-3995
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Mailing Address
Mr. GERALD WAYNE TYLER LMSW
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-348-3995
Copy
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