TYRAN DEWALT

LOUISVILLE, KY
NPI1720366933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225C00000X Rehabilitation Counselor
Enumeration Date2011-07-22
Last Update Date2011-07-22
Business Address
-- TYRAN DEWALT
10510 LA GRANGE RD
LOUISVILLE, KY 40223-1277
Phone number: 502-589-8600
Mailing Address
-- TYRAN DEWALT
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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