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1104574540
MARTHA TUCK
KENNESAW, GA
NPI
1104574540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC008390)
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
MARTHA TUCK
4255 WADE GREEN RD NW STE 414
KENNESAW, GA 30144-1763
Phone number: 678-213-2194
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Mailing Address
MARTHA TUCK
111 N MARIETTA PKWY NE APT C310
MARIETTA, GA 30060-1486
Phone number: 678-848-6227
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