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Individual
SAMUEL RUCKER
Active
Individual
SAMUEL RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106213
NY
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2018
Last updated
01/11/2024
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