Individual
MS. TRACY LYNN RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1640 MCCRACKEN BLVD, PADUCAH, KY 42001-9562
(615) 693-1290
Mailing address
1640 MCCRACKEN BLVD, PADUCAH, KY 42001-9562
(615) 693-1290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149027141
IL
1041C0700X
Clinical Social Worker
258754
KY
Other
Enumeration date
02/29/2012
Last updated
12/03/2024
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