Individual
DR. ELLIOT RUGGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LICSW
Contact information
Practice address
101 TOBEY ST, PROVIDENCE, RI 02909-1830
(774) 994-0212
Mailing address
101 TOBEY ST, PROVIDENCE, RI 02909-1830
(774) 994-0212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03099
RI
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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