Individual
MS. DAPHNE LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13505 US HIGHWAY 1, SEBASTIAN, FL 32958-3759
(772) 257-8224
(772) 213-3157
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW4717
FL
1041C0700X
Clinical Social Worker
C005456
NC
1041C0700X
Clinical Social Worker
Primary
SW4717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW4717
STATE LICENSE
FL
Enumeration date
02/26/2007
Last updated
02/13/2025
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