Individual
BRIAN STEVE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
413 CONOVER ST, SOUTH AMBOY, NJ 08879-1207
(732) 857-9939
Mailing address
PO BOX 3033, SOUTH AMBOY, NJ 08879-3033
(732) 857-9939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05849400
NJ
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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