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1891320719
BREANNA LYNNAE TUCKER
MISSION VIEJO, CA
NPI
1891320719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 101340)
Enumeration Date
2020-03-11
Last Update Date
2024-03-27
Business Address
BREANNA LYNNAE TUCKER LCSW
25910 ACERO STE 160
MISSION VIEJO, CA 92691-2777
Phone number: 714-292-1895
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Mailing Address
BREANNA LYNNAE TUCKER LCSW
16911 WOODSTREAM CIR APT 83
HUNTINGTON BEACH, CA 92647-8309
Phone number: 951-440-4350
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