Individual
SANDRA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N ALABAMA ST, CROSSETT, AR 71635-2808
(870) 415-7845
Mailing address
2735 HIGHWAY 82 E, MONTROSE, AR 71658-9436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
09/10/2024
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