MELVIN W TYSON

CANTON, OH
NPI1427537703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  166005)
Enumeration Date2018-08-08
Last Update Date2018-08-08
Business Address
MELVIN W TYSON
1930 FULTON RD NW STE 103
CANTON, OH 44709-3526
Phone number: 330-956-5936
Mailing Address
MELVIN W TYSON
1930 FULTON RD NW STE 103
CANTON, OH 44709-3526
Phone number: 330-956-5936
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