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Organization
BRODY TUCKER LCSW LLC
Active
Organization
BRODY TUCKER LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODY TUCKER LCSW (OWNER)
(971) 266-0801
Entity
Organization
Contact information
Practice address
1253 NE 112TH AVE, PORTLAND, OR 97220-3021
(971) 266-0801
Mailing address
1253 NE 112TH AVE, PORTLAND, OR 97220-3021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
Other
Enumeration date
10/07/2026
Last updated
10/07/2026
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