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Contact Information

TUCKERVILLE TRANSITIONS ORG
35230 E MICHIGAN AVE
WAYNE, MI48184-3698
 Phone: 313-303-7423
 Fax: 734-345-4104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health Worker

172V00000X
 

Respite Care, Mental Illness, Child

385HR2055X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for TUCKERVILLE TRANSITIONS ORG · (Female)

NPI # 1740853951
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2021
Last updated 03/08/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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