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Individual

EMILY R TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
217 MAIN ST, FLORENCE, KY 41042-2015
(859) 391-4466
Mailing address
217 MAIN ST, FLORENCE, KY 41042-2015
(859) 391-4466

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
257215
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100859930
KY
Enumeration date
05/23/2016
Last updated
11/10/2022
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