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1518438381
TY BREECE TUCKER
PALMDALE, CA
NPI
1518438381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ACSW85716)
Enumeration Date
2018-12-05
Last Update Date
2023-01-26
Business Address
TY BREECE TUCKER
40005 10TH ST W STE 106
PALMDALE, CA 93551-3037
Phone number: 661-265-8627
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Mailing Address
TY BREECE TUCKER
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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