WALTER M TYSON

CHATTANOOGA, TN
NPI1104935758
Other NameNO OTHER NAME
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
-- WALTER M TYSON
150 DEBRA RD
CHATTANOOGA, TN 37411-5616
Phone number: 423-893-6500
Mailing Address
-- WALTER M TYSON
802 BRYNEWOOD PARK LN
CHATTANOOGA, TN 37415-2305
Phone number:
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