Individual
BREANNA TUCK GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3200 SANGUINET ST, FORT WORTH, TX 76107-5355
(817) 255-2500
Mailing address
13509 STAGE COACH LN, CRESSON, TX 76035-4227
(817) 932-0108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108719
TX
Other
Enumeration date
02/03/2025
Last updated
10/15/2025
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