Individual
AMANDA CORINNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 COLISEUM ST, NEW ORLEANS, LA 70115-3606
(504) 644-2482
Mailing address
2331 CANAL ST, NEW ORLEANS, LA 70119-6503
(504) 304-3737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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