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Individual
MR. EDWARD STEPHEN LYON
Active
Individual
MR. EDWARD STEPHEN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCS, CSAC, CCJP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
263
NC
103K00000X
Behavior Analyst
#1429
NC
Other
Enumeration date
05/01/2007
Last updated
12/22/2011
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