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Individual

COREY RUFFING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
757 NORTH MAIN STREET, WEST LIBERTY, KY 41472-1019
(606) 743-3129
(606) 743-2720
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
01/20/2012
Last updated
01/20/2012
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