Individual
SUSAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 INTERFACE DR STE 400, ANN ARBOR, MI 48103-9176
(734) 627-8015
Mailing address
5840 INTERFACE DR STE 400, ANN ARBOR, MI 48103-9176
(734) 627-8015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000628
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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