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Contact Information

STEPHANIE A TUCKER, LCSWA
400 FLEMINGTON DRIVE
LAKE WACCAMAW, NC28450
 Phone: 910-646-3083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STEPHANIE A TUCKER · (Female)

NPI # 1154999118
Status Active
Credentials LCSWA
Entity Individual
Enumeration date 06/16/2021
Last updated 06/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # P016159
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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