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1831808294
JONATHAN RUCKER
ROGERS, AR
NPI
1831808294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P2404003)
Enumeration Date
2022-11-15
Last Update Date
2024-04-12
Business Address
JONATHAN RUCKER LPC
1051 W PLEASANT GROVE RD
ROGERS, AR 72758-8052
Phone number: 479-368-2911
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Mailing Address
JONATHAN RUCKER LPC
13767 PELLA LN
NEOSHO, MO 64850-8781
Phone number: 479-368-2911
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