Sandra Tucker
Social Worker in Crossett, AR. Individual provider (NPI-1).
NPI number1467136804
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1467136804
- Entity type
- Individual (NPI-1)
- Name
- Sandra Tucker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2023
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
200 N Alabama StCrossett, AR 71635-2808
Phone 870-415-7845
Mailing address
2735 Highway 82 EMontrose, AR 71658-9436
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