Individual
DENISE RECELLE TUCKER-HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
Mailing address
10504 W ROHR AVE, MILWAUKEE, WI 53225-3238
(414) 640-2543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
675-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667-7228
—
WI
Enumeration date
02/12/2019
Last updated
02/12/2019
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