Organization
C. ALLEN RUYLE, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. ALLEN RUYLE LCSW, CGP (SOLE PRACTITIONER)
(619) 213-3000
Entity
Organization
Contact information
Practice address
1090 UNIVERSITY AVE, LOFT 202B, SAN DIEGO, CA 92103-7307
(619) 822-1660
(866) 302-7589
Mailing address
1090 UNIVERSITY AVE, LOFT 202B, SAN DIEGO, CA 92103-7307
(619) 822-1660
(866) 302-7589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS26809
CA
Other
Enumeration date
11/05/2011
Last updated
05/01/2013
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