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Individual
MRS. RUTHE FEILBERT-WILLIS
Active
Individual
MRS. RUTHE FEILBERT-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
003295
CT
1041C0700X
Clinical Social Worker
003295
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003295
CONNECTICUT LICENSE
CT
01
—
108129
MHN VENDOR
CT
01
—
140003295CT01
BCC/BS CT
CT
01
—
4256449
AETNA PROVIDER #
CT
01
—
FR441394
PIN # GHI
CT
01
—
P395133
OXFORD, PROVIDER #
CT
01
—
R20174
VALUEOPTIONS, ID
CT
Enumeration date
08/13/2006
Last updated
07/07/2015
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