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MRS. TYSHEENA PATRICE CONYERS LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1720622491

Individual Registrant:
MRS. TYSHEENA PATRICE CONYERS LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
25 S OLD BALTIMORE PIKE STE 201  CHRISTIANA, DE 19702-1540 US
Tel: 302-266-6200  Fax: 302-266-6212

Contact information for business:
19 WINDY WAY  SMYRNA, DE 19977-1846 US
Tel: 419-559-9730  Fax: --

Registration Information:
NPI: 1720622491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
DEQ1-0001723

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DELAWARE BOARD OF SOCIAL WORK EXAMINERSQ1-0001723DE01




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