TYRONE ANDERSON

CHICAGO, IL
NPI1326536376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  11457)
Enumeration Date2018-04-25
Last Update Date2018-04-25
Business Address
TYRONE ANDERSON
5910 W DIVISION ST
CHICAGO, IL 60651-1031
Phone number: 773-777-7112
Mailing Address
TYRONE ANDERSON
5910 W DIVISION ST
CHICAGO, IL 60651-1031
Phone number: 773-777-7112
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