Individual
CLIFFORD TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1518 E MAPLE ST, CUSHING, OK 74023-3018
(918) 285-5204
Mailing address
1518 E MAPLE ST, CUSHING, OK 74023-3018
(918) 285-5204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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