Individual
MRS. ROSANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1212 GARFIELD ST, PORT HURON, MI 48060-2823
(810) 982-0204
Mailing address
1212 GARFIELD ST, PORT HURON, MI 48060-2823
(810) 982-0204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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