Individual
MS. MELINDA ROBIN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
4016 CRESTWOOD MANOR DR, NEW SMYRNA BEACH, FL 32168-9006
(321) 626-6550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258640
KY
1041C0700X
Clinical Social Worker
9315
TN
1041C0700X
Clinical Social Worker
SW9340
FL
Other
Enumeration date
09/21/2012
Last updated
07/23/2024
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