Tucker Clinical Practice, Lcsw, P.c
NPI #1417549361 in North Baldwin, New York
Provider Information
- NPI Number
- 1417549361
- Entity Type
- Organization
- Organization Name
- Tucker Clinical Practice, Lcsw, P.c
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 10, 2021
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 2078 PINE ST
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-2619
- Phone
- (917) 459-2431
Authorized Official
- Name
- DYNA TUCKER
- Title
- OWNER
- Phone
- (917) 459-2431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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