GWEN DALE TYSON

STARKVILLE, MS
NPI1942519616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: NC  7368)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
-- GWEN DALE TYSON MS, LPC, NCC
57 TREVINO LN APT 11
STARKVILLE, MS 39759-4443
Phone number: 252-327-0407
Mailing Address
-- GWEN DALE TYSON MS, LPC, NCC
2416 CHIPPENHAM CT
WINTERVILLE, NC 28590-9773
Phone number: 252-327-0407
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