Individual
PAIGE TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1717 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804-6588
(417) 351-4282
Mailing address
3955 S FARM ROAD 223, ROGERSVILLE, MO 65742-8807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015043298
MO
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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