Individual
MARY MARGARET TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 942-9399
Mailing address
2170 N LAKE DR APT 5037, COLUMBIA, SC 29212-8126
(803) 942-9399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12948
SC
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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