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Individual

ASHLEY TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9300
Mailing address
4124 TRAILS END DR APT 1834, FORT WORTH, TX 76116-0778

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112406
TX

Other

Enumeration date
05/20/2019
Last updated
05/20/2019
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