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1801419312
WAYNE EDWIN TYRE
TEANECK, NJ
NPI
1801419312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071661-01)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
WAYNE EDWIN TYRE LCSW
247 INTERVALE RD
TEANECK, NJ 07666-6354
Phone number: 201-491-1122
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Mailing Address
WAYNE EDWIN TYRE LCSW
247 INTERVALE RD
TEANECK, NJ 07666-6354
Phone number: 201-491-1122
Copy
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