Individual
MRS. PATRICIA NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1017 AUGUSTA DR, OXFORD, MS 38655-6187
(270) 871-7319
Mailing address
1017 AUGUSTA DR, OXFORD, MS 38655-6187
(270) 871-7319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3473
MS
Other
Enumeration date
03/15/2007
Last updated
10/18/2010
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