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1104935758
WALTER M TYSON
CHATTANOOGA, TN
NPI
1104935758
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Other Name
NO OTHER NAME
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- WALTER M TYSON
150 DEBRA RD
CHATTANOOGA, TN 37411-5616
Phone number: 423-893-6500
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Mailing Address
-- WALTER M TYSON
802 BRYNEWOOD PARK LN
CHATTANOOGA, TN 37415-2305
Phone number:
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