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1013012640
THOMAS MICHAEL TUCKER
PINEVILLE, NC
NPI
1013012640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C004152)
Enumeration Date
2006-09-14
Last Update Date
2007-07-09
Business Address
THOMAS MICHAEL TUCKER LCSW
13180 DORMAN RD
PINEVILLE, NC 28134-9327
Phone number: 800-632-6074
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Mailing Address
THOMAS MICHAEL TUCKER LCSW
PO BOX 10414
LARGO, FL 33773-0414
Phone number: 800-632-6074
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