Individual
CHARLES EDWARD TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3088 CRANBERRY HWY STE A, EAST WAREHAM, MA 02538-4800
(508) 295-7990
Mailing address
3088 CRANBERRY HWY STE A, EAST WAREHAM, MA 02538-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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