Individual
MR. JOSHUA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
17088 ADELMANN ST SE APT 312, PRIOR LAKE, MN 55372-2281
(864) 918-0946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25639
MN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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