Individual
LEAH ELAINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S WOODLAWN AVE, O FALLON, MO 63366-7646
(636) 379-1779
Mailing address
801 S WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2022027092
MO
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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