Individual
COURTNEY E'CLAIR TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 PONCE DE LEON AVE STE 300, #2139, ATLANTA, GA 30308
(678) 379-8994
Mailing address
650 PONCE DE LEON AVE STE 300, #2139, ATLANTA, GA 30308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
122648
MA
1041C0700X
Clinical Social Worker
CSW008527
GA
1041C0700X
Clinical Social Worker
Primary
CW021134
PA
Other
Enumeration date
09/08/2021
Last updated
05/10/2025
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