Individual
MRS. JENNIFER DUNCAN RUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12263 CHARLES LACEY DR, MANASSAS, VA 20112-5903
(571) 285-4043
Mailing address
12263 CHARLES LACEY DR, MANASSAS, VA 20112-5903
(571) 285-4043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003467
VA
Other
Enumeration date
03/19/2008
Last updated
01/31/2013
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