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Individual

IAN DAVID TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
837 WILLET RD, JONESBORO, AR 72401
(870) 393-5335
(870) 932-1189
Mailing address
2712 E JOHNSON AVE, JONESBORO, AR 72405-1874
(870) 932-2800
(870) 932-1189

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10088-M
AR

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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