Individual
MS. GLORIA DEAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 NW 115TH ST, OKLAHOMA CITY, OK 73120-6609
(405) 752-4259
Mailing address
2516 NW 115TH ST, OKLAHOMA CITY, OK 73120-6609
(405) 752-4259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
OK
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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