Individual
CAROLYN GAIL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN., LCSW
Contact information
Practice address
100A W DEAN KEETON ST, 1 UNIVERSITY STATION A3500, AUSTIN, TX 78712-1002
(512) 475-6940
(512) 471-8875
Mailing address
512 E 40TH ST, AUSTIN, TX 78751-5104
(512) 451-5310
(512) 451-4750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36306
TX
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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