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Individual
MARK L TUCKER
Active
Individual
MARK L TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH998691770
WA
101YM0800X
Mental Health Counselor
Primary
RC00055358
WA
Other
Enumeration date
10/02/2006
Last updated
08/27/2012
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