Individual
MR. BRUCE TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4513
Mailing address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R04337-1
NY
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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