SHAWN TYSON

HARTFORD, CT
NPI1164064044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  1329)
Enumeration Date2019-10-12
Last Update Date2019-10-12
Business Address
SHAWN TYSON
330 MAIN ST FL 1
HARTFORD, CT 06106-1851
Phone number: 860-778-9078
Mailing Address
SHAWN TYSON
PO BOX 331271
WEST HARTFORD, CT 06133-1271
Phone number: 860-778-9078
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