Individual
SHAUN TYRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 W MOREHEAD ST, SUITE 114, CHARLOTTE, NC 28208-5205
(704) 334-3170
Mailing address
PO BOX 220382, CHARLOTTE, NC 28222-0382
(704) 746-8558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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