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Individual
MR. PHILIP G. RUSCHE
Active
Individual
MR. PHILIP G. RUSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW017656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW010990L
LICENSE NUMBER
PA
Enumeration date
04/17/2006
Last updated
11/14/2018
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