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1760015341
MARIAM E HENDERSON-RUCKER
LORAIN, OH
NPI
1760015341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1901902)
Enumeration Date
2020-02-21
Last Update Date
2022-02-24
Business Address
Ms. MARIAM E HENDERSON-RUCKER LISW
3600 KOLBE RD
LORAIN, OH 44053-1654
Phone number: 440-222-4803
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Mailing Address
Ms. MARIAM E HENDERSON-RUCKER LISW
3600 KOLBE RD STE 11
LORAIN, OH 44053-1652
Phone number: 440-222-4803
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