Individual
ANTHONY MARQUETTE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 BORDERS WAY, WARNER ROBINS, GA 31088-8966
(470) 399-7775
Mailing address
291 PLANTATION CENTRE DR N APT 1603, MACON, GA 31210-9216
(470) 399-7775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006817
GA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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