Individual
CHRISTINE M RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7460 TIDEWATER DR, NORFOLK, VA 23505-3845
(757) 664-6670
Mailing address
400 WARREN CRES APT 3, NORFOLK, VA 23507-2242
(757) 769-1796
(757) 655-3616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019619
VA
1041C0700X
Clinical Social Worker
122587
NY
Other
Enumeration date
07/14/2023
Last updated
01/10/2026
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