Julia Teresa Ruckman MSW, LCSW

NPI 1356599971 - Social Worker - 1041C0700X

NPI Details
NPI 1356599971
Gender Female
Enumeration Date 09/08/2008
Last Updated 09/08/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
419 E C ST
BELLEVILLE IL, 62220-4012, US
Phone (618) 973-9913
Business Location
WATERLOO IL, 62298-1000, US
Phone (618) 939-4444
Fax (618) 939-4181
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.011736
Remove 1356599971 NPI Number

According to our database, Ms. Julia Teresa Ruckman MSW, LCSW NPI is 1356599971, taxonomy code is 1041C0700X and license number is 149.011736, license state is located at Illinois. Julia Teresa Ruckman MSW, LCSW physically located at 419 E C St, Belleville IL, 62220-4012. NPI Number Julia Teresa Ruckman MSW, LCSW has the Individual type.

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1356599971 NPI number is provided on an as is basis without warranty of any kind. 1356599971 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Teresa Ruckman MSW, LCSW are for informational purposes only.