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1528581261
DORIS JEAN TYSON
CHARLOTTE, NC
NPI
1528581261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 12542)
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
DORIS JEAN TYSON
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
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Mailing Address
DORIS JEAN TYSON
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
Copy
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