Individual
MRS. ROSLYN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 GRACE ST, ROCK HILL, SC 29732-2733
(803) 810-0074
Mailing address
2330 GRACE ST, ROCK HILL, SC 29732-2733
(803) 810-0074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841787587
FEE FOR SERVICES
SC
01
—
82-52223743
COUNSELIN
SC
Enumeration date
04/18/2018
Last updated
08/07/2020
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