Tuckerville

NPI #1437626454 in Wayne, Michigan

Provider Information

NPI Number
1437626454
Entity Type
Organization
Organization Name
Tuckerville
Subpart
Yes (part of a larger organization)
Parent Organization
-
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 29, 2018
Last Updated
Sep 13, 2025

Practice Location

Address
35230 E MICHIGAN AVE
City
Wayne
ZIP Code
48184-3698
Phone
(313) 312-5706

Authorized Official

Name
MRS. FARTIMA TUCKER, PH.D, LMSW, CIMHP
Title
CLINICAL PSYCHOTHERAPIST
Phone
(313) 312-5706

Specialties & Taxonomy Codes

Specialty
Counselor
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Social Worker - ClinicalClinical

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