Provider Information for 1821590472
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ERIKA RUCKER LPC
Sex: Female
NPI: 1821590472
Last Updated: 2024-08-26
Certification Date: 2024-08-26
Certification Date: 2024-08-26
Details
| Name | Value | ||||||||
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| NPI | 1821590472 | ||||||||
| Enumeration Date | 2018-02-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4 NESS PL MARIETTA, OH 45750-1100 United States Phone: 304-672-0971 | Fax: | ||||||||
| Primary Practice Address | 4 NESS PL MARIETTA, OH 45750-1100 United States Phone: 304-672-0971 | Fax: | ||||||||
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