Rucker, Tairesha S
Rucker, Tairesha S is an sole proprietor health care provider with primary practice located at 1309 Wood Park Dr Nw , Kennesaw GA 30152-4640. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Rucker, Tairesha S can be contacted via phone (912) 777-8790.Contact Information
Primary practice address
1309 Wood Park Dr Nw
Kennesaw GA 30152-4640
Phone: (912) 777-8790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW008598 | Georgia |
Profile Details
| NPI number | 1144966110 |
|---|---|
| LBN Legal business name | Rucker, Tairesha S |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2022 |
| Last updated | May 11th, 2022 - about 3 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.
Popular Providers
-
Anderson, Joy A.
510 Spring St , Jeffersonville IN 47130-3554 -
Martin, Jaclyn Blaine
2116 Del Lago Cir Nw , Kennesaw GA 30152-8286 -
Bryant, Kathryn Hollis
1291 Stanley Rd Nw , Kennesaw GA 30152-4359 -
Price, Ka'Lynn
1350 Wooten Lake Rd Nw Ste 210 , Kennesaw GA 30144-1348 -
Boaz, Delora K.
600 S Preston St , Louisville KY 40202-1716 -
Attaochu, Comfort Nna
1690 Stone Village Ln Nw , Kennesaw GA 30152-7776 -
Callaway, Schyler J
1750 Shiloh Rd Nw Apt 641 , Kennesaw GA 30144-6480 -
Pleasants, Regina Michelle
3972 Lullwater Main Nw , Kennesaw GA 30144-5709