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Organization
TUCKER DAY REPORT
Active
Organization
TUCKER DAY REPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN LUZIER (DIRECTOR)
(304) 478-2833
Entity
Organization
Contact information
Practice address
213 FIRST ST, PARSONS, WV 26287-1235
(304) 478-2833
(304) 478-4473
Mailing address
213 FIRST ST, PARSONS, WV 26287-1235
(304) 478-2833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
04/01/2025
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