Individual
ANNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
(417) 866-1483
Mailing address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
(417) 866-1483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001021788
MO
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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