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Individual

CONNIE ANN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7000
(956) 289-7257
Mailing address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7000
(956) 289-7257

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64390
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138708602
TX
05
138708611
TX
05
138708613
TX
05
220373901
TX
Enumeration date
05/04/2011
Last updated
11/20/2014
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