Individual
EMILY C TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 S PARK ST STE 2, WILLIMANTIC, CT 06226-3336
(860) 207-0499
Mailing address
90 S PARK ST STE 2, WILLIMANTIC, CT 06226-3336
(860) 207-0499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003673
CT
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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