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Individual

WALTER M TYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 DEBRA RD, CHATTANOOGA, TN 37411-5616
(423) 893-6500
Mailing address
802 BRYNEWOOD PARK LN, CHATTANOOGA, TN 37415-2305

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TN

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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