Thomas Desvarney Tucker IV, CSWRI

NPI #1275206377 in Crestview, Florida

Provider Information

NPI Number
1275206377
Entity Type
Individual
Name
Thomas Desvarney Tucker IV, CSWRI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
CSWRI
Enumeration Date
Jul 26, 2021
Last Updated
Jul 26, 2021

Practice Location

Address
438 ALONZO DR
State
Florida
ZIP Code
32536-4208
Phone
(850) 461-6480

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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