Individual
EDMON W TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
53 S FRENCH BROAD AVE STE 100, ASHEVILLE, NC 28801-3282
(828) 253-2900
Mailing address
82 WHITE THORN DR, ALEXANDER, NC 28701-9792
(954) 873-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013598
NC
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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