DR. LAURIE FAIRALL-RUETER, LLC
Social Work at Marsh Landing Blvd, Ponte Vedra, FL

License number
Florida PY 7675
Category
Social Work
Type
Clinical
License number
Florida PY003739
Category
Social Work
Type
Clinical
License number
Florida 36593
Category
Social Work
Type
Clinical
Owner
Name: DR. LAURIE FAIRALL-RUETER PSY.D.
Title: LICENSED PSYCHOLOGIST
Phone: (904) 463-2284
Address
Address
4400 Marsh Landing Blvd SUITE 1, Ponte Vedra, FL 32082
National Provider ID: 1669795761
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR. LAURIE FAIRALL-RUETER, LLC at bizstanding.com

DR. LAURIE FAIRALL-RUETER, LLC

Jacksonville, FL  -  Ponte Vedra, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Business Services at Non-Commercial Site, Nonclassifiable Establishments
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 13, 2009
Inactive since:
Sep 24, 2010
Addresses:
13500 Sutton Park Dr S SUITE #203, Jacksonville, FL 32224 (Physical)
117 Old Ml Ct, Ponte Vedra Beach, FL 32082 (Mailing)
State ID:
L09000003733
Business type:
Florida Limited Liability Company
Managing Members:
Fairall-Rueter, Laurie, 117 Old Ml Ct, Ponte Vedra Beach, FL 32082 (Physical),Laurie Fairall-Rueter Managing Member, inactive
EIN:
NO-NE

Social Work licenses in Florida