| Dr Mary Ruven Stock, PHD, LCSW | |
|
4423 Leisure Time Dr # C, Diamondhead, MS 39525-3221 | |
| (504) 616-6097 | |
| Not Available |
| Full Name | Dr Mary Ruven Stock |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4423 Leisure Time Dr # C, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811153042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C2936 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ruven Stock, PHD, LCSW Po Box 1144, Kiln, MS 39556-1144 Ph: (504) 616-6097 | Dr Mary Ruven Stock, PHD, LCSW 4423 Leisure Time Dr # C, Diamondhead, MS 39525-3221 Ph: (504) 616-6097 |
Miss Jennifer Marie Waggoner, C8432 LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7714 Moanalua Way, Diamondhead, MS 39525 Phone: 228-305-0063 | |
Mrs. Cornelia H. Swayze, LCSW, BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4387 Leisure Time Drive, Diamondhead, MS 39525 Phone: 228-363-2211 Fax: 228-255-6494 |