JACLYN TUCKER

TROY, MI
NPI1457950172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: MI  SP0000000912649)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: MI  6362009126)
Enumeration Date2020-10-23
Last Update Date2020-10-23
Business Address
JACLYN TUCKER MA, NCSP, TLLP
1777 AXTELL DR
TROY, MI 48084-4404
Phone number: 248-613-5377
Mailing Address
JACLYN TUCKER MA, NCSP, TLLP
1777 AXTELL DR
TROY, MI 48084-4404
Phone number: 248-787-3831