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Individual
REBECCA STUCKER
Active
Individual
REBECCA STUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18052
TEXAS STATE BOARD OF EXAMINERS
TX
Enumeration date
10/01/2008
Last updated
10/01/2008
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