Individual
LOLITA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
16250 NORTHLAND DR STE 105, SOUTHFIELD, MI 48075-5226
(248) 599-7522
Mailing address
16250 NORTHLAND DR STE 105, SOUTHFIELD, MI 48075-5226
(248) 599-7522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023800
MI
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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