MR. TUCKER CANNON, LCSW
Social Worker - School
Active
Individual
NPI: 1205969623
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | No | 28707 (CA) |
| Social Worker - School | 1041S0200X | Yes | 28707 (CA) |
Frequently Asked Questions
NPI 1205969623 is the National Provider Identifier for MR. TUCKER CANNON, LCSW, a Social Worker - School provider located in Altadena, CA. This NPI was enumerated on March 14, 2007.
MR. TUCKER CANNON, LCSW practices at 2046 ALLEN AVE RM 100, Altadena, CA 91001.
Quick Facts
- NPI
- 1205969623
- Type
- Individual
- Enumerated
- Mar 14, 2007
- Last Updated
- Nov 2, 2012
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