Most Relevant Information
Provider Data
| NPI Number: | 1003446147 |
| Provider Name: | TYRE DULANEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/16/2020 |
| Last Updated: | 01/16/2020 |
Provider Practice Location
33480 13TH PL S
FEDERAL WAY
WA
980036357
Practice Location Phone/Fax
| Phone: | 2532857101 |
| Fax: |
Provider Mailing Location
33480 13TH PL S
FEDERAL WAY
WA
980036357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |