Individual
TIMOTHY RERUCHA-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
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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