Individual
DEBORAH NAOMI TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
7001 ORCHARD LAKE RD., #426, WEST BLOOMFIELD, MI 48322-3027
(248) 470-2778
Mailing address
7001 ORCHARD LAKE RD., #426, WEST BLOOMFIELD, MI 48322-3027
(248) 470-2778
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
Primary
6801033432
MI
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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