Individual
TANYA M TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 N COUNTY LINE RD, PIEDMONT, OK 73078-9136
(405) 858-1762
Mailing address
7127 N COUNTY LINE RD, PIEDMONT, OK 73078-9136
(405) 858-1762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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