Brody Tucker, LCSW

NPI #1013309962 in Vancouver, Washington

Provider Information

NPI Number: 1013309962
Entity Type: Individual
Name: Brody Tucker, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 2, 2015
Last Updated: Dec 22, 2021

Practice Location

Address: 12607 SE MILL PLAIN BLVD
City: Vancouver
State: Washington
ZIP Code: 98684-6055
Phone: (360) 558-2456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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