Individual
EDWARD WOOD RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
175 EMERY HIGHWAY, MACON, GA 31217
(478) 803-7631
(478) 751-4530
Mailing address
175 EMERY HIGHWAY, MACON, GA 31217
(478) 803-7631
(478) 751-4430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001481
LCSW
GA
Enumeration date
10/06/2006
Last updated
05/18/2012
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