Individual
ANNIE LEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1601 BRENNER AVE, MAIL CODE 122-Z, SALISBURY, NC 28144-2515
(704) 597-3500
(704) 597-3586
Mailing address
3506 W TYVOLA RD, MAIL CODE 122-HC, CHARLOTTE, NC 28208-2515
(704) 329-1300
(704) 357-7513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C006986
SOCIAL WORK CERTIFICATION & LICENSURE BOARD
NC
Enumeration date
09/19/2008
Last updated
11/16/2017
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