Individual
GABRIEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CHRISTOPHER ST, DORCHESTER, MA 02122-1218
(617) 288-7450
(617) 288-7457
Mailing address
15 CHRISTOPHER ST, DORCHESTER, MA 02122-1218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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