Individual
CONNIE MONTGOMERY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7095 W WHEATLAND RD, DALLAS, TX 75249-1067
(972) 708-2431
Mailing address
4040 S LEDBETTER DR, DALLAS, TX 75236-1331
(214) 668-3946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12054
TX
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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