Individual
BONNI RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HIGHGATE DR, APT 502, EWING, NJ 08618-2030
(914) 133-3465
Mailing address
1 HIGHGATE DR, APT 502, EWING, NJ 08618-2030
(914) 133-3465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05371200
NJ
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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