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1245365030
LULA TUCKER
FRESNO, CA
NPI
1245365030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 051165)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- LULA TUCKER C.A.T.C. 051165
1029 E JOLSON AVE
FRESNO, CA 93706-5548
Phone number: 559-347-7593
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Mailing Address
-- LULA TUCKER C.A.T.C. 051165
1029 E JOLSON AVE
FRESNO, CA 93706-5548
Phone number: 559-347-7593
Copy
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