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1134186380
MARY L TUCKER
NEW YORK, NY
NPI
1134186380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 049323)
Enumeration Date
2006-04-28
Last Update Date
2010-07-23
Business Address
Ms. MARY L TUCKER LCSW
227 MADISON ST GOUVERNEUR MEDICAL STAFF OFFICE, ROOM 1249
NEW YORK, NY 10002-7537
Phone number: 212-238-7614
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Mailing Address
Ms. MARY L TUCKER LCSW
444 EAST 20TH ST #11H
NEW YORK, NY 10009
Phone number: 212-254-2950
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