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Individual

AISHEA TYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1305 TACOMA AVE S STE 201, TACOMA, WA 98402-1903
(253) 396-5823
Mailing address
1305 TACOMA AVE S STE 201, TACOMA, WA 98402-1903
(253) 396-5823

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106S00000X
Behavior Technician

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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