person
Amy D Ruckman, PEL
School Social Worker in Altamont, Illinois
NPI 1366059818

Amy D Ruckman is a School Social Worker based in Altamont, IL and is specialized in School. Amy D Ruckman practices in Altamont, IL and has the professional credentials of PEL. The NPI Number for Amy D Ruckman is 1366059818 and holds a License No. 448350 (Illinois).

The current practice location address for Amy D Ruckman is 407 S Edwards St, Altamont, IL and can be reached out via phone at 618-483-5171 and via fax at 618-483-6793. You can also correspond with Amy D Ruckman through the mailing address at 407 S EDWARDS ST, ALTAMONT, IL - 62411-1799 (mailing address contact number: 618-483-5171).

Location: 407 S Edwards St, Altamont, IL, 62411-1799
person
Provider Profile Details
NPI Number
1366059818
Provider Name
Amy D Ruckman
Credential
PEL
Provider Entity Type
Individual
Gender
Female
Address
407 S Edwards St, Altamont, IL, 62411-1799
Phone Number
618-483-5171
Fax Number
618-483-6793
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
448350 01 IL PEL
institution
Provider Business Practice Location Address Details
Address
407 S Edwards St
City
State
Zip
62411-1799
Phone Number
618-483-5171
Fax Number
618-483-6793
person
Provider Business Mailing Address Details
Address
407 S Edwards St
City
State
Zip
62411-1799
Phone Number
618-483-5171
Fax Number
618-483-6793
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
448350 (Illinois)
Definition
Definition to come...
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