JONATHAN ROGER RUCKMAN

LOUISVILLE, KY
NPI1710658141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  253375)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
JONATHAN ROGER RUCKMAN LCSW
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number: 502-263-3515
Mailing Address
JONATHAN ROGER RUCKMAN LCSW
2322 THORNHILL RD
LOUISVILLE, KY 40222-6261
Phone number: 504-975-3130
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