Individual
MRS. DENISE RUCKER EUBANK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
217 SUPPIGER LN, HIGHLAND, IL 62249-1132
(314) 960-6885
(314) 646-7962
Mailing address
3620 CAMBRIDGE AVE, SAINT LOUIS, MO 63143-4103
(314) 960-6885
(314) 646-7962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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