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Individual
RUTH MADELINE SHOR JANNATI
Active
Individual
RUTH MADELINE SHOR JANNATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025
BSDC INDIVIDUAL
—
01
—
150N
MBMD GROUP
—
01
—
150N136G
MBMD INDIVIDUAL
—
01
—
226269
KAIS INDIVIDUAL
—
01
—
252450
COMP GROUP
—
01
—
253556
COMP INDIVIDUAL
—
01
—
331948
MHN INDIVIDUAL
—
01
—
360218
MHN GROUP
—
01
—
399602
MAMS INDIVIDUAL
—
01
—
61605107
BSMD INDIVIDUAL
—
01
—
705BPS
BSMD GROUP
—
01
—
K452
BSDC GROUP
—
01
—
PVPB129359
APS GROUP
—
Enumeration date
06/07/2006
Last updated
07/13/2026
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