Individual
RUTH VIVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6477 RECKNORE DR, MILFORD, DE 19963-2338
(505) 506-0616
Mailing address
6477 RECKNORE DR, MILFORD, DE 19963-2338
(505) 506-0616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Q3-0010442
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0012094
DE
Other
Enumeration date
03/26/2022
Last updated
03/26/2025
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