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1093166951
TUCKER BANKSTON
ALLEN, TX
NPI
1093166951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 78286)
Enumeration Date
2016-06-22
Last Update Date
2020-03-09
Business Address
TUCKER BANKSTON
1125 RAINTREE CIR STE 180
ALLEN, TX 75013-5289
Phone number: 972-332-1912
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Mailing Address
TUCKER BANKSTON
1125 RAINTREE CIR STE 180
ALLEN, TX 75013-5289
Phone number: 972-332-1912
Copy
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