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Individual
FELICIA TUCKER
Active
Individual
FELICIA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
104100000X
Social Worker
Primary
4764-S
NV
1041C0700X
Clinical Social Worker
—
NULL
251B00000X
Case Management Agency
—
NULL
405300000X
Prevention Professional
4764-S
NV
Other
Enumeration date
03/17/2022
Last updated
06/03/2022
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