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1770012080
LYDIA LINDA TUCKER
LOVELAND, CO
NPI
1770012080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC0004213)
Enumeration Date
2017-06-08
Last Update Date
2018-03-17
Business Address
Ms. LYDIA LINDA TUCKER CACIII
2017 W EISENHOWER BLVD
LOVELAND, CO 80537-3139
Phone number: 970-461-0978
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Mailing Address
Ms. LYDIA LINDA TUCKER CACIII
2017 W EISENHOWER BLVD
LOVELAND, CO 80537-3139
Phone number: 1970-461-0978
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