Individual
ANN MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105242
—
NC
Enumeration date
03/24/2009
Last updated
05/19/2023
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