Organization
KELSEE TUCKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEE LYNN TUCKER LCSW (LCSW)
(706) 766-0137
Entity
Organization
Contact information
Practice address
701 E 2ND AVE, SUITE A, ROME, GA 30161
(706) 766-0137
Mailing address
222 LAURENS RD, ROCKMART, GA 30153-3107
(706) 766-0137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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