Most Relevant Information
Provider Data
| NPI Number: | 1003175118 |
| Provider Name: | MARY LAWRENCE TYLER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 3808-LCSW |
Most Important Dates
| Enumeration Date: | 05/09/2012 |
| Last Updated: | 05/09/2012 |
Provider Practice Location
1788 CAL YOUNG RD
#185
EUGENE
OR
974017638
Practice Location Phone/Fax
| Phone: | 8082846053 |
| Fax: |
Provider Mailing Location
1788 CAL YOUNG RD
#185
EUGENE
OR
974017638
Provider Mailing Phone/Fax
| Phone: | 8082846053 |
| Fax: |