Individual
MS. PEGGIE K TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
814 PALMER RD STE B4, MADISON, AL 35758-3185
(256) 325-0467
(256) 325-0469
Mailing address
6611 LIZZIE LN SE, OWENS CROSS ROADS, AL 35763-9358
(256) 603-5166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0260-0931C
AL
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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