Individual
WYNONA IRENE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT CANDIDATE
Contact information
Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 424-7711
Mailing address
1202 E 10TH ST, SHAWNEE, OK 74801-7308
(405) 915-2777
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11337
OK
Other
Enumeration date
03/16/2023
Last updated
08/20/2024
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