GERALD LEWIS TUCKER

TYLER, TX
NPI1972792141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  5066)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- GERALD LEWIS TUCKER
402 ULSTER DR
TYLER, TX 75703-5347
Phone number: 903-839-7405
Mailing Address
-- GERALD LEWIS TUCKER
402 ULSTER DR
TYLER, TX 75703-5347
Phone number: 903-839-7405
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