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1952860397
PHILLIP MICHAEL TUCKER
SEVIERVILLE, TN
NPI
1952860397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TN 4446)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
PHILLIP MICHAEL TUCKER LPC - MHSP
3889 WONDERLAND LN
SEVIERVILLE, TN 37862-8288
Phone number: 865-366-7218
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Mailing Address
PHILLIP MICHAEL TUCKER LPC - MHSP
1514 MAURY ST
ALCOA, TN 37701-2028
Phone number: 865-640-1782
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