Carolyn Rose Tucker, LPC

NPI #1053688143 in Conyers, Georgia

Provider Information

NPI Number: 1053688143
Entity Type: Individual
Name: Carolyn Rose Tucker, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Nov 17, 2011
Last Updated: Jan 28, 2014

Practice Location

Address: 1009 MILSTEAD AVE NE STE 210
City: Conyers
State: Georgia
ZIP Code: 30012-4510
Phone: (770) 789-0847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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