Individual
ANJANETTE N. TUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(541) 393-5983
(541) 393-5984
Mailing address
650 BENNETT CREEK RD, COTTAGE GROVE, OR 97424-1007
(541) 556-4606
(541) 403-9893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726944
—
OR
Enumeration date
09/09/2014
Last updated
01/17/2023
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