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1467964247
LAQUITA RAYNEA TUCKER
CINCINNATI, OH
NPI
1467964247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.167267)
Enumeration Date
2017-11-01
Last Update Date
2019-02-14
Business Address
LAQUITA RAYNEA TUCKER CDCA
2203 FULTON AVE
CINCINNATI, OH 45206-2504
Phone number: 513-961-4663
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Mailing Address
LAQUITA RAYNEA TUCKER CDCA
9790 MARINO DR
CINCINNATI, OH 45251-2267
Phone number: 513-377-0106
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