Individual
MARY ELIZABETH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
3265 WILMINGTON RD, MONTGOMERY, AL 36105-1824
(334) 819-6631
Mailing address
3265 WILMINGTON RD, MONTGOMERY, AL 36105-1824
(334) 819-6631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0813-2011C
AL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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