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Individual
MRS. MARILYN RUEDA
Active
Individual
MRS. MARILYN RUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC100165
FL
324500000X
Substance Abuse Rehabilitation Facility
CAC100165
FL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
CAC100165
FL
374K00000X
Religious Nonmedical Practitioner
CAC100165
FL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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