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1154929255
GLENN WILLIAM TYSON
LAKEWOOD, CO
NPI
1154929255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 0016334)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
Mr. GLENN WILLIAM TYSON LPC
8015 W ALAMEDA AVE
LAKEWOOD, CO 80226-3041
Phone number: 720-767-2893
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Mailing Address
Mr. GLENN WILLIAM TYSON LPC
10344 W 44TH AVE APT 2C
WHEAT RIDGE, CO 80033-2741
Phone number: 973-647-5558
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