Individual
MELINDA SUE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500A FORUM DR, ROLLA, MO 65401-4602
(573) 458-0100
Mailing address
500A FORUM DR, ROLLA, MO 65401-4602
(573) 458-0100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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