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Individual

CYNTHIA DAWN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,PMHCNS-BC

Contact information

Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2084
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2084

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
552624
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
552624
TX

Other

Enumeration date
07/16/2007
Last updated
01/15/2009
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