Individual
TIMOTHY RERUCHA-MILLER
Active
Individual
TIMOTHY RERUCHA-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007738
IA
1041C0700X
Clinical Social Worker
149.027565
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-22418
AZ
Other
Enumeration date
07/31/2013
Last updated
01/22/2026
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