Individual
CANDICE BROOKE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019005790
MO
1041C0700X
Clinical Social Worker
Primary
57307
TX
1041C0700X
Clinical Social Worker
CSW009577
GA
Other
Enumeration date
09/28/2021
Last updated
04/26/2025
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