Individual
KRISTINA MARIA RUSKULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5000 S 5TH AVE, SWS - 122, HINES, IL 60141-3030
(708) 202-4951
Mailing address
5000 S 5TH AVE, SWS - 122, HINES, IL 60141-3030
(708) 202-4951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150013383
IL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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