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Organization
JACQUE RUCH, LLC
Active
Organization
JACQUE RUCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN J RUCH LCSW 8152438332 (OWNER)
(815) 243-8332
Entity
Organization
Contact information
Practice address
3205 SOUTHGATE CIR STE 19, SARASOTA, FL 34239-5514
(815) 243-8332
Mailing address
11519 SWEETGRASS DR, BRADENTON, FL 34212-2522
(815) 243-8332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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