Individual
ROBERT D TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 MANDY DR, ATHENS, GA 30601-2117
(706) 352-9482
Mailing address
120 MANDY DR, ATHENS, GA 30601-2117
(706) 352-9482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007571
GA
Other
Enumeration date
05/03/2021
Last updated
08/26/2021
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