| NPI | 1134502123 |
|---|---|
| Professional Name | JESSICA TUCKER LISW,LICSW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2102687) |
| 104100000X Social Worker (Licence: WV AP00944679) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-03-19 |