Individual
AMY MICHELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 NW 10TH ST, OKLAHOMA CITY, OK 73103-3902
(580) 695-1550
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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