Individual
MIKKI RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2809 GREENWOOD AVE, TRAIL CREEK, IN 46360-5709
(574) 361-3979
Mailing address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
08/11/2022
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