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Organization
TUCKER THERAPY
Active
Organization
TUCKER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE TUCKER MS, NCC (OWNER/MANAGER)
(814) 335-2210
Entity
Organization
Contact information
Practice address
10066 STATE PARK RD, PENFIELD, PA 15849-1136
(814) 335-2210
Mailing address
10066 STATE PARK RD, PENFIELD, PA 15849-1136
(814) 335-2210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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