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Individual
MRS. BERNICE BELINDA TUCKER
Active
Individual
MRS. BERNICE BELINDA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5409
SC
101YP2500X
Professional Counselor
5409
SC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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