Individual
CHARLES GERMAINE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, BCD
Contact information
Practice address
533 E GIRARD AVE # 604, PHILADELPHIA, PA 19125-3311
(445) 455-6045
(267) 762-4374
Mailing address
533 E GIRARD AVE # 604, PHILADELPHIA, PA 19125-3311
(445) 455-6045
(267) 762-4374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020993
PA
Other
Enumeration date
01/01/2020
Last updated
07/08/2023
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