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1497255244
CHARLES EDWARD TUCKER
EAST WAREHAM, MA
NPI
1497255244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
CHARLES EDWARD TUCKER
3088 CRANBERRY HWY STE A
EAST WAREHAM, MA 02538-4800
Phone number: 508-295-7990
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Mailing Address
CHARLES EDWARD TUCKER
3088 CRANBERRY HWY STE A
EAST WAREHAM, MA 02538-4800
Phone number:
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