MEDICARE: MRS. SARAH TYLER LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	1000	CO

General Provider Information

NPI Number	:	1679847362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH TYLER LSW

Provider Business Mailing Address
First Line	:	3420 W HAYWARD PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3626
Country	:	US
Telephone Number	:	808-341-6637
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 W HAYWARD PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3626
Country	:	US
Telephone Number	:	808-341-6637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2012
Last Update Date	:	02/28/2012

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Directions to “ MRS. SARAH TYLER LSW” Practice Location

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