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General NPI Number Information
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NPI Number | 1043560147
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Entity Type | Organization
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Legal Business Name | KATE REED TYLER, LCSW, LLC
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Dates
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Enumeration Date | 09/15/2012
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Last Update Date | 09/15/2012
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Provider Practice Location Address
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Address Line | 56 DANBURY RD SUITE 9
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City | NEW MILFORD
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State | CT
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Zip | 06776-3415
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Country | US
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Telephone | 203-586-6327
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Fax | 203-264-6865
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Provider Business Mailing Address
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Address Line | 56 DANBURY RD SUITE 9
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City | NEW MILFORD
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State | CT
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Zip | 06776-3415
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Country | US
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Telephone | 203-586-6327
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Fax | 203-264-6865
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN R. TYLER
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Credential | LSCW
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Telephone | 203-586-6327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007667
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License Number State | CT
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