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Organization
TUCKER CLINICAL PRACTICE, LCSW, P.C
Active
Organization
TUCKER CLINICAL PRACTICE, LCSW, P.C
Active
Other names
Tucker Group Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DYNA TUCKER (OWNER)
(917) 459-2431
Entity
Organization
Contact information
Practice address
2078 PINE ST, NORTH BALDWIN, NY 11510-2619
(917) 459-2431
Mailing address
2078 PINE ST, NORTH BALDWIN, NY 11510-2619
(917) 459-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
01/02/2024
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