Individual
MRS. KENDRA E TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
274 OLD CORVALLIS RD UNIT C, HAMILTON, MT 59840-3213
(405) 351-0665
Mailing address
PO BOX 85, VICTOR, MT 59875-0085
(406) 868-6011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23925
MT
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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