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Individual

JEANETTE NICOLE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(410) 837-5533
Mailing address
BRIAN D. ALLGOOD COMMUNITY HOSPITAL, OPC 371, BOX 39, APO, AP 96271-9001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
21873
MD
1041C0700X
Clinical Social Worker
Primary
LCSW-4582
HI

Other

Enumeration date
08/29/2016
Last updated
03/19/2025
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