Provider Demographics
NPI:1366763989
Name:KORIE, RUTH CHINEDUM (MSW)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:CHINEDUM
Last Name:KORIE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 APALACHEE PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4800
Mailing Address - Country:US
Mailing Address - Phone:850-294-0073
Mailing Address - Fax:
Practice Address - Street 1:4261 SLOE DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-7000
Practice Address - Country:US
Practice Address - Phone:850-294-0073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health