TYRONE RAUL TENNESSEE

SAN ANTONIO, TX
NPI1962287003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-28
Last Update Date2023-08-28
Business Address
TYRONE RAUL TENNESSEE LCDC-I
519 E QUINCY ST
SAN ANTONIO, TX 78215-1632
Phone number: 210-299-1614
Mailing Address
TYRONE RAUL TENNESSEE LCDC-I
519 E QUINCY ST
SAN ANTONIO, TX 78215-1632
Phone number: 210-299-1614
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