Tuck, Laura L

Tuck, Laura L is an individual health care provider with primary practice located at 1657 Merrimac Trl , Williamsburg VA 23185-5624. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tuck, Laura L can be contacted via phone (757) 220-3200.

Contact Information

Primary practice address
1657 Merrimac Trl Williamsburg VA 23185-5624
Phone: (757) 220-3200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0904002567 Virginia

Profile Details

NPI number 1255480554
LBN Legal business name Tuck, Laura L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255480554 NPPES
Virginia MEDICAID 004945301
Virginia Other 376989
Virginia Other O84181M
Virginia Other 184226

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