Individual
DR. JUNE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
Mailing address
4149 HIBISCUS DR APT 303, LITTLE RIVER, SC 29566-8384
(347) 575-8368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244019
—
NY
Enumeration date
09/23/2008
Last updated
04/20/2022
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