Individual
CHAMON LENORE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MARTIN LUTHER KING BLVD, STE #101, OKLAHOMA CITY, OK 73117-4235
(405) 424-0007
(405) 424-6507
Mailing address
2109 N PAGE AVE, OKLAHOMA CITY, OK 73111-1853
(405) 474-7031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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