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Individual

SAMANTHA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
112 E ALLEN ST # 3, PHILADELPHIA, PA 19125-4140
(215) 554-1191
(484) 930-0829
Mailing address
5343 SYLVESTER ST, PHILADELPHIA, PA 19124-1112
(267) 528-9549

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136579
PA

Other

Enumeration date
05/12/2021
Last updated
09/07/2022
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