Individual
MRS. ALICIA ANN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
930 WILLOWBROOK RD, STATEN ISLAND, NY 10314-4209
(718) 477-5215
Mailing address
930 WILLOWBROOK RD, STATEN ISLAND, NY 10314-4209
(718) 477-5215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
079791
NY
1041C0700X
Clinical Social Worker
Primary
0814321
NY
Other
Enumeration date
05/26/2010
Last updated
05/07/2014
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