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Individual
MR. STEVEN TYNDALL
Active
Individual
MR. STEVEN TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1016
NC
1041C0700X
Clinical Social Worker
Primary
C005334
NC
174400000X
Specialist
25502
NC
Other
Enumeration date
06/24/2006
Last updated
12/17/2008
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