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Individual

ALEXA TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 N RIDGE RD, ELYRIA, OH 44035-1241
(440) 324-1300
(440) 277-0409
Mailing address
2100 N RIDGE RD, ELYRIA, OH 44035-1241
(440) 234-1300
(440) 277-0409

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/06/2021
Last updated
08/14/2025
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