Individual
ASHLEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 COLE AVE, WHITMIRE, SC 29178-1504
(803) 768-6794
Mailing address
97 COLE AVE, WHITMIRE, SC 29178-1504
(803) 768-6794
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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