Lisa A Rucker, BA LSW

NPI #1184836314 in West Carrollton, Ohio

Provider Information

NPI Number: 1184836314
Entity Type: Individual
Name: Lisa A Rucker, BA LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BA LSW
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1170 E CENTRAL AVE
City: West Carrollton
State: Ohio
ZIP Code: 45449-1825
Phone: (937) 865-9061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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