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Individual

HEATHER JEAN LANCSTER-TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7220 W JEFFERSON AVE STE 100, LAKEWOOD, CO 80235-2015
(303) 225-7673
Mailing address
1911 E 18TH ST APT B, CHEYENNE, WY 82001-5066
(307) 640-5636

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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