Individual
MS. JACQUELYN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2814 S US HIGHWAY 1, FORT PIERCE, FL 34982-8120
(772) 489-4726
Mailing address
5545 NW CORDREY ST, PORT ST LUCIE, FL 34986-3925
(917) 846-4696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082404-1
NY
Other
Enumeration date
07/01/2011
Last updated
06/07/2015
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