Individual
KATHRYN SUE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(143) 652-4100
(143) 845-5016
Mailing address
3198 BROWN RD, BRIGHTON, IL 62012-2931
(186) 830-5121
(314) 845-5016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/28/2024
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