Individual
DR. JEARLEAN RUIZ MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2155 OLD MOULTRIE RD STE 101, ST AUGUSTINE, FL 32086-5106
(863) 709-8110
Mailing address
3425 S RAVELLO DR, SAINT AUGUSTINE, FL 32092-3486
(939) 717-2705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9939
FL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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