Individual
KENDALE D TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26015 REEDY RD, NORTH DINWIDDIE, VA 23803-7737
(804) 896-4951
Mailing address
26015 REEDY RD, NORTH DINWIDDIE, VA 23803-7737
(804) 896-4951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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