Individual
SARA ANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2118 3 MILE RD NW, GRAND RAPIDS, MI 49544-1425
(616) 364-1500
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013617
MI
103T00000X
Psychologist
Primary
6361001588
MI
Other
Enumeration date
02/05/2008
Last updated
04/23/2024
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