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Individual
MRS. DAVIDA LYNN RUTRICK GOLDSTEIN
Active
Individual
MRS. DAVIDA LYNN RUTRICK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR023426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA936091
—
NY
Enumeration date
10/23/2006
Last updated
08/03/2022
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