Individual
AMY RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
205 INGRAM BLVD, WEST MEMPHIS, AR 72301-3423
(870) 735-2737
(870) 735-2738
Mailing address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-6818
(870) 739-6821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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