NPI 1902663008

Evelyn Jean Tucker

Practitioner Rehabilitation Counselor Detroit, MI

Practice location

Address: 5555 Conner St, Detroit, MI 48213-3448
Phone: (313) 729-0200
Mailing address: 6341 Neff Ave, Detroit, MI 48224-1265

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 6451015394 (MI)

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Registry record

NPI: 1902663008
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2024
Record last updated: 5 Mar 2024

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.