Individual
DIAMOND RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
420 W GRAND AVE, LAKE VILLA, IL 60046
(847) 245-6475
Mailing address
PO BOX 1088, LAKE VILLA, IL 60046-1088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106691
IL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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