Ty Breece Tucker
Ty Breece Tucker is a Clinical Social Worker in Palmdale, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
40005 10th St W Ste 106Palmdale, CA 93551-3037
Phone: (661) 265-8627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence ACSW85716 (CA) |
|---|
Record details
| NPI number | 1518438381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2018 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 26, 2023 |
| Mailing address | 9650 Zelzah Ave, Northridge, CA 91325-2003 |
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