Individual
KELLY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 MICHAEL LN, SPRING HILL, TN 37174-7444
(615) 618-9018
Mailing address
PO BOX 1048, SPRING HILL, TN 37174-1048
(615) 618-9018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4396
TN
Other
Enumeration date
03/01/2007
Last updated
07/09/2021
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