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Individual
DAVID B TUCKER
Active
Individual
DAVID B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
70726
CA
Other
Enumeration date
11/25/2011
Last updated
07/16/2016
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