Frudakis-Ruckel, Amanda

Frudakis-Ruckel, Amanda is an sole proprietor health care provider with primary practice located at 15 Wehrli Rd , Long Valley NJ 07853-3418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Frudakis-Ruckel, Amanda can be contacted via phone (631) 764-9261.

Contact Information

Primary practice address
15 Wehrli Rd Long Valley NJ 07853-3418
Phone: (631) 764-9261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05919200 New Jersey

Profile Details

NPI number 1700412053
LBN Legal business name Frudakis-Ruckel, Amanda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2020
Last updated Mar 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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