Organization
GEORGE RUCCIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE W RUCCIO LCSW (OWNER)
(615) 390-6127
Entity
Organization
Contact information
Practice address
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013-2115
(615) 390-6127
Mailing address
3906 TRIMBLE RD, NASHVILLE, TN 37215-3104
(615) 390-6127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6053
TN
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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