Individual
PAIGE L TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S PERRYVILLE RD STE 118, ROCKFORD, IL 61108-2522
(815) 980-7695
Mailing address
2720 PELHAM RD, ROCKFORD, IL 61107-1865
(815) 980-7695
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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