Individual
SAMANTHA ANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 785-3926
Mailing address
1899 WESTSIDE DR, ROCHESTER, NY 14624-3741
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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