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1164837027
TYNISHA JAMISON
WILMINGTON, DE
NPI
1164837027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- TYNISHA JAMISON
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-472-0381
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Mailing Address
-- TYNISHA JAMISON
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-472-0381
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