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Individual
MRS. TAWNY L KUCK
Active
Individual
MRS. TAWNY L KUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RASI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
K0508171433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI-K0508171433
ADMINISTRATIVE ASSISTANT/COUNSELOR
CA
Enumeration date
03/18/2009
Last updated
03/18/2009
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