Individual
MARY RUTH KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-5556
(724) 238-9533
Mailing address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-5556
(724) 238-9533
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000733
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001348580007
—
PA
Enumeration date
06/16/2015
Last updated
06/16/2015
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