Individual
ANDRES C RUIZ ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, LCSW
Contact information
Practice address
107 THREE FORKS PL, GREENVILLE, SC 29609-1587
(440) 320-2251
Mailing address
107 THREE FORKS PL, GREENVILLE, SC 29609-1587
(440) 320-2251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014211
NC
Other
Enumeration date
06/19/2023
Last updated
06/29/2023
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