NPIRadar

Kelly Tuckwaite, LCSW-C Valid NPI

Individual provider · Clinical Social Worker · Germantown, MD

NPI
1447122775
Type
Individual (Type 1)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
27782 (MD)
Sex
X
Sole proprietor
No
Enumerated
2025-09-17
Last updated
2025-09-17
Practice location
20410 Observation Dr Ste 105
Germantown, MD 20876-6426
(240) 805-5045

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