Individual
AUDRA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 N MUSTANG RD, MUSTANG, OK 73064-7214
(405) 376-1800
(405) 376-1856
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 376-1800
(405) 376-1856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7005
OK
Other
Enumeration date
09/24/2014
Last updated
06/28/2021
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