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1093054710
MARY L TUCKER
TAVARES, FL
NPI
1093054710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 1300003064)
Enumeration Date
2013-02-01
Last Update Date
2013-02-01
Business Address
MARY L TUCKER
1601 BANNING BEACH RD
TAVARES, FL 32778-2024
Phone number: 352-742-8020
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Mailing Address
MARY L TUCKER
938 WASHINGTON ST
LEESBURG, FL 34748
Phone number:
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