Individual
AMBROSA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 W CLAIBORNE ST, MONROEVILLE, AL 36460-1738
(251) 575-4203
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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