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Individual
MR. MARK LOUIS RUFFALO JR.
Active
Individual
MR. MARK LOUIS RUFFALO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
1041C0700X
Clinical Social Worker
C009504
NC
1041C0700X
Clinical Social Worker
SW12857
FL
Other
Enumeration date
11/15/2012
Last updated
09/20/2016
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