Individual
DEBRA RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(773) 910-7023
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(773) 910-7023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19065
IL
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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