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Individual
MRS. MARCIA M RUTBERG
Active
Individual
MRS. MARCIA M RUTBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887532400
—
FL
05
—
S2531
—
FL
Enumeration date
11/21/2005
Last updated
06/09/2009
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