Individual
BOBBI JO TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 BROADWAY, HANNIBAL, MO 63401-4005
(576) 221-2111
Mailing address
3311 DEERFIELD RD, HANNIBAL, MO 63401-2759
(573) 719-7525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020041566
MO
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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