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MIEKA LYNNE TUCKER BS

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1942785449

Individual Registrant:
 MIEKA LYNNE TUCKER BS
Gender: F
Sole Proprietor

Location and contact information for practice:
17117 GULF BLVD APT 248  NORTH REDINGTON BEACH, FL 33708-1412 US
Tel: 417-848-1677  Fax: --

Contact information for business:
17117 GULF BLVD APT 248  NORTH REDINGTON BEACH, FL 33708-1412 US
Tel: 417-848-1677  Fax: --

Registration Information:
NPI: 1942785449
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
FL$$$$$$$$$

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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