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Individual
NICOLE B RUIZ
Active
Individual
NICOLE B RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105778
EDUCATION DEPARTMENT
NY
Enumeration date
04/29/2019
Last updated
12/27/2023
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