Individual
MRS. MONIQUEKA RACHELLE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 HIGHGROVE DR, COVINGTON, GA 30016-7790
(167) 820-0929
Mailing address
PO BOX 798, PORTERDALE, GA 30070-0798
(470) 984-6040
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
GA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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