Individual
JENNIFER TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
102 4TH ST, HILLSBORO, MO 63050-5043
(636) 638-2618
(636) 638-2633
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2026027734
MO
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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