Individual
AUDREY ELIZABETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 VALLEY WEST DR, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368
Mailing address
105 VALLEY WEST DR, WEST DES MOINES, IA 50265-3902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122244
TN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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