TUCKER WALLACE

ST GEORGE, UT
NPI1205499811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-04-18
Last Update Date2025-01-21
Business Address
TUCKER WALLACE
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770-2951
Phone number: 435-705-7574
Mailing Address
TUCKER WALLACE
444 S MAIN ST STE C7
CEDAR CITY, UT 84720-3442
Phone number: 435-233-6981
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