| Tuckerville Transitions Org | |
|
4952 Dewitt Rd Canton MI 48188-2434 | |
| (313) 312-5706 | |
| Not Available |
| Full Name | Tuckerville Transitions Org |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4952 Dewitt Rd, Canton, Michigan |
| Authorized Official Name and Position | Fartima Tucker (PRESIDENT) |
| Authorized Official Contact | 3133125706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuckerville Transitions Org Po Box 125 Belleville MI 48112-0125 Ph: (313) 312-5706 | Tuckerville Transitions Org 4952 Dewitt Rd Canton MI 48188-2434 Ph: (313) 312-5706 |
| NPI Number | 1740853951 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740853951 | NPI | - | NPPES |
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