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Individual
RUTH NISSEN
Active
Individual
RUTH NISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C,CCDC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05283
MD
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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