| Mr Paul Tucker, LCSW | |
| 
					527 W 3rd St, Konawa, OK 74849  | |
| (580) 925-3286 | |
| (580) 925-2362 | 
| Full Name | Mr Paul Tucker | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 527 W 3rd St, Konawa, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861574717 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2063 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Paul Tucker, LCSW 527 W 3rd St, Po Box 358, Konawa, OK 74849 Ph: (580) 925-3286  | Mr Paul Tucker, LCSW 527 W 3rd St, Konawa, OK 74849 Ph: (580) 925-3286  | 
Amanda Lawhorn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149  | |
Mrs. Winifred Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362  |