Provider Demographics
NPI:1841844867
Name:RUEDA FRANCO, SANDRA JURLEY (MSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:JURLEY
Last Name:RUEDA FRANCO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:J
Other - Last Name:RUEDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:49 EASTON RD APT 7
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-3010
Mailing Address - Country:US
Mailing Address - Phone:718-314-2343
Mailing Address - Fax:
Practice Address - Street 1:745 MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2060
Practice Address - Country:US
Practice Address - Phone:570-994-2664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical