Individual
MRS. JODY ANN ST. GEORGE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, MA
Contact information
Practice address
2645 MIDWAY RD, DULUTH, MN 55810-2112
(218) 349-1792
Mailing address
2645 MIDWAY RD, DULUTH, MN 55810
(218) 349-1792
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
07105
MN
225A00000X
Music Therapist
Primary
07105
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07105
MUSIC THERAPIST
MN
Enumeration date
05/22/2007
Last updated
06/17/2015
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