Individual
MRS. NICHOLE VIOLET TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2128 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 331-6525
Mailing address
937 CARTERS CHAPEL RD, DE MOSSVILLE, KY 41033-7502
(859) 816-6734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257213
KY
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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