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1780374454
PAULA JEAN TUCKER
LANCASTER, CA
NPI
1780374454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12049)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
PAULA JEAN TUCKER SUDRC
44421 10TH ST
LANCASTER, CA 93534-3335
Phone number: 181-827-4626
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Mailing Address
PAULA JEAN TUCKER SUDRC
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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