Individual
KATHERINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S MAPLE RD STE 2, ANN ARBOR, MI 48103-3838
(734) 368-9691
Mailing address
1750 BIRMINGHAM BLVD, BIRMINGHAM, MI 48009-1922
(248) 797-6511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
11/05/2019
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