Individual
TYRIC AWOSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 W LIBERTY ST STE B, SUMTER, SC 29150-4745
(803) 757-1744
Mailing address
738 W LIBERTY ST STE B, SUMTER, SC 29150-4745
(803) 757-1744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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