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Individual
MRS. SHANNON SCHOU TUCKER
Active
Individual
MRS. SHANNON SCHOU TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
287
CO
1041C0700X
Clinical Social Worker
Primary
9923319
CO
Other
Enumeration date
09/21/2012
Last updated
11/09/2018
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