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Individual

MRS. TIAMA LAMIA RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1375 MCCOY ST, OPELIKA, AL 36801-6627
(909) 565-0956
Mailing address
1375 MCCOY ST UNIT 136, OPELIKA, AL 36801-6628
(909) 565-0956

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
143862
CA

Other

Enumeration date
03/27/2015
Last updated
12/26/2023
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