Individual
ALEXA JORDYN RUCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
614 COOPER HILL RD # 219, WYNANTSKILL, NY 12198-2906
(518) 283-6500
Mailing address
614 COOPER HILL RD # 219, WYNANTSKILL, NY 12198-2906
(518) 283-6500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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