KATHLEEN A TYLER

PORT JEFFERSON, NY
NPI1912538638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  047068)
Enumeration Date2020-01-31
Last Update Date2020-02-26
Business Address
KATHLEEN A TYLER LCSW
1401 MAIN ST
PORT JEFFERSON, NY 11777-2225
Phone number: 631-928-0202
Mailing Address
KATHLEEN A TYLER LCSW
1401 MAIN ST
PORT JEFFERSON, NY 11777-2225
Phone number: 631-928-0202