Individual
ANGELA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-ASSOCIATE
Contact information
Practice address
2939 CAYUGA LANE, GRAND PRAIRIE, TX 75054
(214) 707-7748
Mailing address
1301 E DEBBIE LANE STE 102 #1594, MANSFIELD, TX 76063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TX
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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