Individual
TRACI LEREE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
212 E FERRY ST, SALINA, OK 74365-2622
(918) 434-5135
(918) 434-8998
Mailing address
PO BOX 98, SALINA, OK 74365-0098
(918) 434-5135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09144942
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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