KELSEY TYSON

TAYLORSVILLE, UT
NPI1700369246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
KELSEY TYSON
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
Mailing Address
KELSEY TYSON
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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