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1013309962
BRODY TUCKER
VANCOUVER, WA
NPI
1013309962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW65719)
Enumeration Date
2015-03-02
Last Update Date
2021-12-22
Business Address
BRODY TUCKER LCSW
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-558-2456
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Mailing Address
BRODY TUCKER LCSW
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number:
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