Individual
TYLER DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 BROZZINI CT, GREENVILLE, SC 29615-5340
(864) 228-7636
Mailing address
205 HOOD CREEK RD, LAURENS, SC 29360-6408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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