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Individual

MS. RUTH COOKE HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,MFT,CAP

Contact information

Practice address
630 POPE AVE NW, WINTER HAVEN, FL 33881-4665
(863) 292-2201
(863) 292-2201
Mailing address
1303 MIRROR TER NW, WINTER HAVEN, FL 33881-2352
(863) 258-1203
(863) 292-2201

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2582
FL
1041C0700X
Clinical Social Worker
0002531
FL
106H00000X
Marriage & Family Therapist
0001357
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z020K
BLUE CROSS
FL
Enumeration date
06/19/2007
Last updated
09/11/2025
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