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1124291315
ELLEN WALL TUCKER
BOULDER, CO
NPI
1124291315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.00000120)
Enumeration Date
2008-04-08
Last Update Date
2017-11-10
Business Address
ELLEN WALL TUCKER LCSW
4800 RIVERBEND RD SUITE 200
BOULDER, CO 80301-2636
Phone number: 303-415-8850
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Mailing Address
ELLEN WALL TUCKER LCSW
5450 WESTERN AVE
BOULDER, CO 80301-2709
Phone number: 303-415-8850
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