Individual
AUTHURINE TUCKER-RATTIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 BIRCHGROVE DR, CENTRAL ISLIP, NY 11722-1926
(631) 478-4244
Mailing address
12 BIRCHGROVE DR, CENTRAL ISLIP, NY 11722-1926
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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