Individual
KELSEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3876 RENEE DR UNIT B, MYRTLE BEACH, SC 29579-4108
(857) 939-8287
Mailing address
1016 HARVESTER CIR, MYRTLE BEACH, SC 29579-3288
(857) 939-8287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16732
SC
Other
Enumeration date
01/06/2022
Last updated
10/27/2025
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