Individual
SARA PRYDE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 735-3460
Mailing address
4385 W TIMBERWOOD DR, TRAVERSE CITY, MI 49686-3845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000609
MI
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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