| Ruth J. Worsham | |
|
600 Sw Darwin Blvd Ste 205 Port St Lucie FL 34953-3365 | |
| (772) 528-8558 | |
| Not Available |
| Full Name | Ruth J. Worsham |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 Sw Darwin Blvd Ste 205, Port St Lucie, Florida |
| Authorized Official Name and Position | Ruth J Worsham (OWNER) |
| Authorized Official Contact | 7725288558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth J. Worsham 661 Sw Mccracken Ave Port St Lucie FL 34953-3933 Ph: (772) 528-8558 | Ruth J. Worsham 600 Sw Darwin Blvd Ste 205 Port St Lucie FL 34953-3365 Ph: (772) 528-8558 |
| NPI Number | 1144469321 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 06/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144469321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9415 (Florida) | Primary |
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