Individual
LUIS E RUIZPEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1251 FAIRFAX HUNT, LAWRENCEVILLE, GA 30043-4003
(912) 977-3941
Mailing address
8735 DUNWOODY PL # 5032, ATLANTA, GA 30350-2995
(404) 692-3539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008698
GA
Other
Enumeration date
08/15/2023
Last updated
06/12/2025
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