SearchOhio1041C0700X

Mariam Henderson-Rucker, LISW

NPI 1760015341 · on the registry since 2020 · sole proprietor

Practice

Address
3600 Kolbe Rd
Lorain, OH 44053
Phone
(440) 222-4803
Fax
(440) 960-4922
Organisation at this address
Lorain Asc Lp
Lorain Asc Lp
Ilona Jurek Md Inc
John H Gray Do Inc
John Otoole Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
115

Additional practice sites

  • 3700 Kolbe Rd, Lorain, OH

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio