Keish Malyn Tucker, LCSW
NPI #1982973244 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1982973244
- Entity Type
- Individual
- Name
- Keish Malyn Tucker, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 15, 2011
- Last Updated
- May 8, 2020
Practice Location
- Address
- 875 ERIAL RD
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-3931
- Phone
- (856) 227-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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