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Individual

MR. HENRY MATTIA TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 994-2511
Mailing address
2119 SAINT FRANCIS ST, WILMINGTON, DE 19808-4055
(302) 419-5624

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0000130
DE

Other

Enumeration date
05/21/2020
Last updated
05/21/2020
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