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Individual
MRS. JULIE LYN TYSON
Active
Individual
MRS. JULIE LYN TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006721
NC
Other
Enumeration date
02/26/2007
Last updated
08/30/2012
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