Individual
CHARLES RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 POST OFFICE RD, SUITE 210, WALDORF, MD 20602-1914
(301) 705-7593
(301) 705-8753
Mailing address
603 POST OFFICE RD, SUITE 210, WALDORF, MD 20602-1914
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3372
MD
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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