Provider Information for 1447330840
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Ms. IRIS SUE TUCKER-LLOYD LMSW, LPC
Sex: Female
NPI: 1447330840
Last Updated: 2024-06-11
Certification Date: 2024-06-11
Certification Date: 2024-06-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447330840 | ||||||||||||
| Enumeration Date | 2006-10-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 8031 TIREMAN ST DETROIT, MI 48204-3469 United States Phone: 313-579-9451 | Fax:313-526-5747 | ||||||||||||
| Primary Practice Address | 2925 RUSSELL ST DETROIT, MI 48207-4825 United States Phone: 313-396-5300 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 8031 TIREMAN ST 100 NORTHBOUND GRATIOT AVE | ||||||||||||
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