Individual
MS. CECILIA A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRE, SW
Contact information
Practice address
10823 SEMINOLE BLVD STE 2B, SEMINOLE, FL 33778-3347
(727) 392-2812
(727) 392-0856
Mailing address
10823 SEMINOLE BLVD STE 2B, SEMINOLE, FL 33778-3347
(727) 392-2812
(727) 392-0856
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT386
FL LICENSE #
FL
Enumeration date
05/15/2007
Last updated
07/08/2007
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