Individual
GRETCHEN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6197 LEHMAN DR STE 102, COLORADO SPRINGS, CO 80918-3446
(719) 266-1000
Mailing address
5413 E OLD FARM CIR, COLO SPGS, CO 80917-1111
(719) 641-3450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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