Individual
ELIZABETH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 721-3006
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 721-3006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016981
IL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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