| NPI | 1275958563 |
|---|---|
| Former Name | CARRIE STUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2021-11-10 |