Individual
CYNTHIA TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 GRANDIN RD SW, ROANOKE, VA 24015-2815
(540) 915-6472
Mailing address
2466 MONTGOMERY AVE SW, ROANOKE, VA 24015-4202
(540) 293-9908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004509
VA
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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