Individual
MRS. DENISE RENAE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155-157 MOUNT PLEASANT AVE, NEWARK, NJ 07104
(973) 483-1119
Mailing address
155-157 MOUNT PLEASANT AVE, NEWARK, NJ 07104
(973) 483-1119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05489700
NJ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NJ
Other
Enumeration date
11/29/2011
Last updated
12/10/2018
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