BRANDIE TUCKER

ENID, OK
NPI1598348591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  10939126)
Enumeration Date2021-04-28
Last Update Date2021-04-28
Business Address
BRANDIE TUCKER
1824 S VAN BUREN ST
ENID, OK 73703-7903
Phone number: 405-230-1168
Mailing Address
BRANDIE TUCKER
1824 S VAN BUREN ST
ENID, OK 73703-7903
Phone number: 405-230-1168
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