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Individual

ZAAIRA IRENE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624
Mailing address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25350
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38-3876389
MD
Enumeration date
09/17/2019
Last updated
09/17/2019
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