KEISH MALYN TUCKER

BLACKWOOD, NJ
NPI1982973244
Former NameKEISH MALYN PARKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05314300)
Enumeration Date2011-12-15
Last Update Date2020-05-08
Business Address
KEISH MALYN TUCKER LCSW
875 ERIAL RD
BLACKWOOD, NJ 08012-3931
Phone number: 856-227-1400
Mailing Address
KEISH MALYN TUCKER LCSW
875 ERIAL RD
BLACKWOOD, NJ 08012-3931
Phone number: 856-227-1400
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