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1245788082
DEREK RUIZ
MADISON, WI
NPI
1245788082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178010196)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
Mr. DEREK RUIZ CRC, LPC
49 KESSEL CT
MADISON, WI 53711-6275
Phone number: 608-280-2636
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Mailing Address
Mr. DEREK RUIZ CRC, LPC
25 KESSEL CT
MADISON, WI 53711-6227
Phone number: 608-280-2636
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