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1033704440
MATTHEW THOMAS TUCKER
WRANGELL, AK
NPI
1033704440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
MATTHEW THOMAS TUCKER
110 LYNCH STREET
WRANGELL, AK 99929-1231
Phone number: 907-874-5008
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Mailing Address
MATTHEW THOMAS TUCKER
PO BOX 1231
WRANGELL, AK 99929-1231
Phone number: 907-874-5008
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