Beatrice Tucker

NPI #1962020180 in Gallup, New Mexico

Provider Information

NPI Number: 1962020180
Entity Type: Individual
Name: Beatrice Tucker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 14, 2020
Last Updated: Jul 14, 2020

Practice Location

Address: 220 E NIZHONI BLVD APT 10
City: Gallup
State: New Mexico
ZIP Code: 87301-7111
Phone: (903) 930-7454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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