Individual
JUSTINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 E WASHINGTON AVE, MADISON, WI 53703-3688
(844) 536-8266
Mailing address
5606 SHIELDS DR, BETHESDA, MD 20817-3571
(301) 493-0023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
07/19/2024
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