Individual
BRANDY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 CINCINNATI BATAVIA PIKE, CINCINNATI, OH 45244-1518
(513) 752-1555
Mailing address
555 CINCINNATI BATAVIA PIKE LOWR LEVEL, CINCINNATI, OH 45244-1556
(513) 752-1555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2103117
OH
104100000X
Social Worker
C.1902061-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/06/2018
Last updated
01/21/2021
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