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1518477173
SHANNA RENE TUCKER
WINFIELD, WV
NPI
1518477173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-10-09
Last Update Date
2018-06-16
Business Address
SHANNA RENE TUCKER RBT
2631 STATE ROUTE 34
WINFIELD, WV 25213-7797
Phone number: 681-235-3114
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Mailing Address
SHANNA RENE TUCKER RBT
PO BOX 4100
BARBOURSVILLE, WV 25504-4100
Phone number:
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