Individual
MARTHA TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
Mailing address
111 N MARIETTA PKWY NE APT C310, MARIETTA, GA 30060-1486
(678) 848-6227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008390
GA
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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