Individual
SHARISE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
105 GROVE ST STE 5A, MONTCLAIR, NJ 07042-4053
(347) 706-8973
Mailing address
PO BOX 94, BUDD LAKE, NJ 07828-0094
(347) 706-8973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NJ
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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