Individual
MS. MARTHA GALE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
104 CHURCH ALY, CHESTERTOWN, MD 21620-1506
(410) 778-3404
(410) 778-2179
Mailing address
104 CHURCH ALY, CHESTERTOWN, MD 21620-1506
(410) 778-3404
(410) 778-2179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
08995
MD
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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