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1164069811
MATTHEW LYON
TYLER, TX
NPI
1164069811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14377)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
Mr. MATTHEW LYON LCDC
1510 S VINE AVE
TYLER, TX 75701-2826
Phone number: 903-526-4055
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Mailing Address
Mr. MATTHEW LYON LCDC
2419 VZ COUNTY ROAD 2318
CANTON, TX 75103-4873
Phone number:
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