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Individual

EVELYN JEAN TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 729-0200
Mailing address
6341 NEFF AVE, DETROIT, MI 48224-1265
(313) 729-0020

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
6451015394
MI

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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