ALEXIS TYSON

SAN DIEGO, CA
NPI1588946255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-09-19
Last Update Date2011-09-19
Business Address
-- ALEXIS TYSON
2542 MCKEAN ST
SAN DIEGO, CA 92136-0001
Phone number: 619-556-1868
Mailing Address
-- ALEXIS TYSON
3422 MARATHON DR
SAN DIEGO, CA 92123-2622
Phone number:
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