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Individual

MR. DAVID SHELDON TYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LCSW-C, LICSW

Contact information

Practice address
402 TALAHI RD SE, VIENNA, VA 22180-5869
(202) 957-8045
(574) 975-8045
Mailing address
402 TALAHI RD SE, VIENNA, VA 22180-5869
(202) 957-8045
(574) 975-8045

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006478
VA
1041C0700X
Clinical Social Worker
15421
MD
1041C0700X
Clinical Social Worker
LC50078766
DC

Other

Enumeration date
01/02/2007
Last updated
03/15/2010
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