Individual
ANDREA TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 GRANNY SMITH CT, BALTIMORE, MD 21220
(443) 841-4238
(410) 918-1839
Mailing address
24 GRANNY SMITH CT, BALTIMORE, MD 21220-1749
(443) 841-4238
(410) 918-1839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5920
MD
Other
Enumeration date
11/07/2014
Last updated
07/23/2018
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