Individual
TYSON SPEARS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
6118 S MERRILL AVE, CUDAHY, WI 53110-2929
(414) 578-6625
Mailing address
6118 S MERRILL AVE, CUDAHY, WI 53110-2929
(414) 578-6625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7604-125
WI
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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