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1053099911
WAYNE LEE TUCKER
PRICE, UT
NPI
1053099911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 127971513502)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
WAYNE LEE TUCKER CSW
70 W MAIN ST
PRICE, UT 84501-2804
Phone number: 435-637-0171
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Mailing Address
WAYNE LEE TUCKER CSW
70 W MAIN ST
PRICE, UT 84501-2804
Phone number: 435-637-0171
Copy
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