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Individual
TYLER MICHAEL DWYER
Active
Individual
TYLER MICHAEL DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14586
NC SLP LICENSE
NC
Enumeration date
06/07/2022
Last updated
06/07/2022
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