Tyler W. Loder LMSW, LSWAIC

NPI 1053658369 - Social Worker - 104100000X

NPI Details
NPI 1053658369
Gender Male
Enumeration Date 01/07/2013
Last Updated 01/15/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
9600 VETERANS DR
TACOMA WA, 98493-0001, US
Phone (253) 583-3519
Fax
Business Location
9600 VETERANS DR
TACOMA WA, 98493-7241, US
Phone (785) 408-2917
Fax
Toxanomy
Taxonomy Code 104100000X
License State Kansas
License Number 8042
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According to our database, Mr. Tyler W. Loder LMSW, LSWAIC NPI is 1053658369, taxonomy code is 104100000X and license number is 8042, license state is located at Kansas. Tyler W. Loder LMSW, LSWAIC physically located at 9600 Veterans Dr, Tacoma WA, 98493-0001. NPI Number Tyler W. Loder LMSW, LSWAIC has the Individual type.

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1053658369 NPI number is provided on an as is basis without warranty of any kind. 1053658369 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler W. Loder LMSW, LSWAIC are for informational purposes only.