Provider Information for 1255621439
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Ms. JACQUELINE A RUGGIERI MSW
Sex: Female
NPI: 1255621439
Last Updated: 2011-04-08
Certification Date:
Certification Date:
Details
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| NPI | 1255621439 | ||||||||
| Enumeration Date | 2011-04-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2611 CYNWYD AVE BROOMALL, PA 19008-1912 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2600 W 9TH ST CHESTER, PA 19013-2040 United States Phone: 610-497-7237 | Fax: | ||||||||
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