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1144966110
TAIRESHA S RUCKER
KENNESAW, GA
NPI
1144966110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW008598)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
Miss TAIRESHA S RUCKER LMSW
1309 WOOD PARK DR NW
KENNESAW, GA 30152-4640
Phone number: 912-777-8790
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Mailing Address
Miss TAIRESHA S RUCKER LMSW
1309 WOOD PARK DR NW
KENNESAW, GA 30152-4640
Phone number: 912-777-8790
Copy
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