Individual
MRS. JULIE ELLEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N MAIN ST, NEWTOWN, MO 64667-8100
(660) 794-2245
Mailing address
306 N MAIN ST, NEWTOWN, MO 64667-8100
(660) 794-2245
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022037038
MO
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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