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Individual

KWAYULYN RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
252 TURNER POINTE RD, EASLEY, SC 29642-9091
(248) 632-6448
Mailing address
29600 LAURA RIDGE DR NW, HARVEST, AL 35749-5901
(248) 632-6448

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11633
SC
101YP2500X
Professional Counselor
239719
KY
101YP2500X
Professional Counselor
6401222478
MI
101YP2500X
Professional Counselor
Primary
LPC04143
AL

Other

Enumeration date
11/04/2015
Last updated
05/07/2026
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