Individual
ROBERT TUCKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257A COUNTY ROAD 40, SULLIVAN, OH 44880-9731
(419) 736-3300
Mailing address
302 NORTHWOODS AVE, WELLINGTON, OH 44090-9397
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
TU1000766
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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