Individual
JODY WATSON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46214-3684
(317) 381-0355
(317) 381-0356
Mailing address
618 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46214-3684
(317) 381-0355
(317) 381-0356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004435A
IN
Other
Enumeration date
02/09/2006
Last updated
11/22/2021
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