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Individual

NICHOLAS JAMES RYAN TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 628-1105
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 628-1105

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
04/25/2023
Last updated
09/11/2025
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