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Individual

AMBER J RUCKER

Active
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Individual

AMBER J RUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
135
WY
1041C0700X
Clinical Social Worker
413
WY
1041C0700X
Clinical Social Worker
Primary
789
WY

Other

Enumeration date
10/14/2009
Last updated
04/16/2024
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