Individual
AUSTIN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7200
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25083
MD
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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