MS. Mariam E Henderson-Rucker, LISW
MS. Mariam E Henderson-Rucker, LISW is a Clinical Social Worker in Lorain, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
What do these letters mean?
- LISW — Licensed Independent Social Worker
- A social worker licensed to practise independently.
Practice location Address checks out
3600 Kolbe RdLorain, OH 44053-1654
Phone: (440) 222-4803
Fax: (440) 960-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3700 Kolbe Rd, Lorain, OH 44053-1611 — (440) 222-4003
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence I.1901902 (OH) |
|---|
Record details
| NPI number | 1760015341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISW |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2020 |
| Last updated in NPPES | February 24, 2022 |
| Certification date | February 24, 2022 |
| Mailing address | 3600 Kolbe Rd Ste 11, Lorain, OH 44053-1652 |
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