Individual
ANGELA C TUCKER-GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7466
(219) 392-7470
Mailing address
2206 E RAND ST, HOBART, IN 46342-2582
(219) 947-9332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004817A
IN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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