Individual
MIKAYLA LYNN RUGGIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1244 CLAIRMONT RD STE 102, DECATUR, GA 30030-1250
(352) 246-3028
Mailing address
1244 CLAIRMONT RD STE 102, DECATUR, GA 30030-1250
(352) 246-3028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW008934
GA
Other
Enumeration date
01/05/2021
Last updated
10/01/2024
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