Individual
MS. CYNTHIA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW ACSW BCD
Contact information
Practice address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 753-9271
(541) 753-9271
Mailing address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 753-9271
(541) 753-9271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
542
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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