Individual
MR. KYLE STEPHEN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
13975 WEST GRAND AVE, #101, SURPRISE, AZ 85374
(623) 266-8490
(623) 398-6094
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(690) 223-4712
(602) 217-1478
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-15716
AZ
Other
Enumeration date
11/02/2021
Last updated
06/23/2025
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