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Individual
MS. RUTH MELLENTHIN
Active
Individual
MS. RUTH MELLENTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150-013328
IL
1041C0700X
Clinical Social Worker
Primary
149-018650
IL
Other
Enumeration date
05/30/2015
Last updated
07/14/2016
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