Individual
MIEKA LYNNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
17117 GULF BLVD APT 248, NORTH REDINGTON BEACH, FL 33708-1412
(417) 848-1677
Mailing address
17117 GULF BLVD APT 248, NORTH REDINGTON BEACH, FL 33708-1412
(417) 848-1677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
10/01/2018
Last updated
07/21/2022
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