Individual
MRS. WAVEY LOUISE TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1409 W MAIN ST STE 120, BOISE, ID 83702-5215
(406) 480-5800
Mailing address
1409 W MAIN ST STE 120, BOISE, ID 83702-5215
(406) 480-5800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-30598
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-33583
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659651743
—
ID
Enumeration date
08/22/2011
Last updated
03/11/2026
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