Individual
MS. JASMINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
416 BIRCH ST, ADEL, GA 31620-1861
(229) 300-3330
Mailing address
PO BOX 992, ADEL, GA 31620-0992
(229) 300-3330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007542
GA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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