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Individual

CHARLOTTE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RC

Contact information

Practice address
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 633-3350
(206) 633-3113
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00021201
WA

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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