Wyatt Tucker Pasco
Wyatt Tucker Pasco is a Peer Specialist in Concord, Massachusetts. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
76 Gifford LnConcord, MA 01742-2235
Phone: (617) 800-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OR) |
|---|
Record details
| NPI number | 1194407528 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2023 |
| Last updated in NPPES | August 4, 2023 |
| Certification date | August 4, 2023 |
| Mailing address | 76 Gifford Ln, Concord, MA 01742-2235 |