| NPI | 1811322928 |
|---|---|
| Doing Business As | STEPHANIE S. TUCKER, LCSW |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SWAIN TUCKER Owner/Sole Practitioner 434-515-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0904007352) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-11-16 |