MR. Tucker Croxall Cannon, LCSW
NPI #1205969623 in Altadena, California
Provider Information
- NPI Number
- 1205969623
- Entity Type
- Individual
- Name
- MR. Tucker Croxall Cannon, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Nov 2, 2012
Practice Location
- Address
- 2046 ALLEN AVE RM 100
- City
- Altadena
- State
- California
- ZIP Code
- 91001-3424
- Phone
- (626) 660-9419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker - School — School |
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