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1003109984
TYE WALCOTT
SAVANNAH, GA
NPI
1003109984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006467)
Enumeration Date
2011-05-25
Last Update Date
2012-10-09
Business Address
-- TYE WALCOTT LPC
125 FAHM ST
SAVANNAH, GA 31401-2391
Phone number: 912-344-9403
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Mailing Address
-- TYE WALCOTT LPC
3441 CYPRESS MILL RD SUITE 102
BRUNSWICK, GA 31520-2878
Phone number: 912-264-0979
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