Individual
JAMILYN RUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 W THARPE ST STE 7, TALLAHASSEE, FL 32303-5300
(850) 561-8060
Mailing address
1000 W THARPE ST STE 7, TALLAHASSEE, FL 32303-5300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW12481
FL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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