Individual
MS. CAROLYN J RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
10855 W POTTER RD STE 25, WAUWATOSA, WI 53226-3439
(414) 491-1053
Mailing address
10855 W POTTER RD STE 25, WAUWATOSA, WI 53226-3439
(414) 491-1053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1891-123
WI
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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