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TYRAN DEWALT
Clinical Social Worker
NPI: 1720366933Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
260261(KY)
Contact & Hours
- Address
- 10510 LA GRANGE RD
LOUISVILLE, KY 40223 - Phone
- (502) 589-8600
Quick Facts
- NPI
- 1720366933
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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