Individual
ELLIE ELIZABETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 ORLEANS BLVD, COLDWATER, MI 49036-1767
(517) 279-8404
(517) 279-8172
Mailing address
200 ORLEANS BLVD, COLDWATER, MI 49036-1767
(517) 279-8404
(517) 279-8172
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085633
MI
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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