NPI 1003315276
Mackenzie Ann Stucker, TCADC
Practice location
- Address
- 2030 Keokuk St, Iowa City, IA 52240-4456
- Phone
- (319) 351-9760
- Fax
- (319) 351-9760
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003315276
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Feb 2018
- Record last updated
- 2 Feb 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.