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1053981878
ANDREA TYSON
DENHAM SPRINGS, LA
NPI
1053981878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-06-25
Last Update Date
2023-11-15
Business Address
ANDREA TYSON
106 BUSINESS PARK AVENUE
DENHAM SPRINGS, LA 70726-7072
Phone number: 888-417-5250
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Mailing Address
ANDREA TYSON
106 BUSINESS PARK AVENUE
DENHAM SPRINGS, LA 70726-7006
Phone number: 888-417-5250
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