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1225629694
JEFFREY TUCKER
MAPLEWOOD, NJ
NPI
1225629694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05762700)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
JEFFREY TUCKER LCSW
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040-3725
Phone number: 646-382-7410
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Mailing Address
JEFFREY TUCKER LCSW
PO BOX 874
HILLSIDE, NJ 07205-0874
Phone number: 646-382-7410
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