TINA STUCKERT

VALPARAISO, IN
NPI1033449426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   22004929A)
Enumeration Date2010-01-06
Last Update Date2010-01-06
Business Address
-- TINA STUCKERT
3101 EVANS AVE
VALPARAISO, IN 46383-6939
Phone number: 219-462-0786
Mailing Address
-- TINA STUCKERT
2801 EVANS AVE
VALPARAISO, IN 46383-6940
Phone number: