Individual
CHRISTINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16 WOODSTOCK CT, LUMBERTON, NJ 08048-3409
(904) 349-3161
Mailing address
16 WOODSTOCK CT, LUMBERTON, NJ 08048-3409
(904) 349-3161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWGTL2001719
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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