Individual
JESSICA ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Mailing address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63775
CA
Other
Enumeration date
08/21/2012
Last updated
07/21/2022
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