Fartima Tucker | |
4952 Dewitt Rd Canton MI 48188-2434 | |
(313) 312-5706 | |
(734) 345-4104 |
Full Name | Fartima Tucker |
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Speciality | Social Worker - Clinical |
Location | 4952 Dewitt Rd, Canton, Michigan |
Authorized Official Name and Position | Fartima Tucker (OWNER, CLINICAL PSYCHO-THERAPIST) |
Authorized Official Contact | 3133037423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fartima Tucker Po Box 125 Belleville MI 48112-0125 Ph: (313) 312-5706 | Fartima Tucker 4952 Dewitt Rd Canton MI 48188-2434 Ph: (313) 312-5706 |
NPI Number | 1710505953 |
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Provider Enumeration Date | 07/13/2020 |
Last Update Date | 08/15/2020 |
Certification Date | 08/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710505953 | NPI | - | NPPES |
8025368 | Medicaid | MI |
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