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Individual

AISHA RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 BAXTER AVE, LOUISVILLE, KY 40204-1103
(502) 518-3725
Mailing address
2400 MELLWOOD AVE APT 1417, LOUISVILLE, KY 40206-1076
(592) 418-5314

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/20/2022
Last updated
05/20/2022
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