Individual
MRS. KRISTEN LEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
23 ISAAC ST, MIDDLEBORO, MA 02346-2080
(508) 947-9295
Mailing address
114 MEADOW ST, PO BOX 604, CARVER, MA 02330-1523
(508) 866-3307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4819
MA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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