George Ruccio

NPI #1265802094 in Antioch, Tennessee

Provider Information

NPI Number: 1265802094
Entity Type: Organization
Organization Name: George Ruccio
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 6, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 500 HICKORY HOLLOW TER
City: Antioch
State: Tennessee
ZIP Code: 37013-2115
Phone: (615) 390-6127

Authorized Official

Name: GEORGE W RUCCIO, LCSW
Title: OWNER
Phone: (615) 390-6127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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