THOMAS GEORGE STUCK

SALEM, OR
NPI1881607059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  OR 96-10-165)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Mr. THOMAS GEORGE STUCK M.A.
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-361-5400
Mailing Address
Mr. THOMAS GEORGE STUCK M.A.
3595 CRESTVIEW DR S
SALEM, OR 97302-5658
Phone number: 503-399-1603
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