Individual
AMANDA FRUDAKIS-RUCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 WEHRLI RD, LONG VALLEY, NJ 07853-3418
(631) 764-9261
Mailing address
15 WEHRLI RD, LONG VALLEY, NJ 07853-3418
(631) 764-9261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05919200
NJ
Other
Enumeration date
03/18/2020
Last updated
10/09/2024
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