MICHAEL C TUCKER

DIXON, IL
NPI1962524793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  A10440001A)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mr. MICHAEL C TUCKER MS CADC
748 TIMBERCREEK ROAD
DIXON, IL 61021
Phone number: 815-284-3940
Mailing Address
Mr. MICHAEL C TUCKER MS CADC
748 TIMBERCREEK ROAD
DIXON, IL 61021
Phone number: 815-284-3940
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