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1306501648
KYLE STEPHEN TUCKER
PHOENIX, AZ
NPI
1306501648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LMSW-15716)
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
KYLE STEPHEN TUCKER LMSW
5040 N 15TH AVE
PHOENIX, AZ 85015-3328
Phone number: 602-234-7127
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Mailing Address
KYLE STEPHEN TUCKER LMSW
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 690-223-4712
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