Kate Tyson, LSW

NPI #1780231217 in Mansfield, Ohio

Provider Information

NPI Number: 1780231217
Entity Type: Individual
Name: Kate Tyson, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 20, 2019
Last Updated: Nov 19, 2020

Practice Location

Address: 741 SCHOLL RD
City: Mansfield
State: Ohio
ZIP Code: 44907-1571
Phone: (419) 756-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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