Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE TUCKER (CLINICAL SOCIAL WORKER)
(434) 645-7544
Entity
Organization
Contact information
Practice address
105 W MARYLAND AVE, CREWE, VA 23930-1809
(434) 645-7544
Mailing address
105 W MARYLAND AVE, CREWE, VA 23930-1809
(434) 645-7544
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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