Individual
MACKENZIE ANN STUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TC.A.D.C.
Contact information
Practice address
2030 KEOKUK ST, IOWA CITY, IA 52240-4456
(319) 351-9760
(319) 351-9760
Mailing address
2030 KEOKUK ST, IOWA CITY, IA 52240-4456
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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