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Individual
MS. ILEANA RUIZ
Active
Individual
MS. ILEANA 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
R046307-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH14202641
MEDICARE NH14202641 LINKED TO GROUP PTAN W02641
NY
01
—
W02641
COUNTY OF ROCKLAND
—
Enumeration date
08/18/2006
Last updated
03/15/2012
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