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Individual
MR. NICHOLAS JAMES RUTKOWSKI
Active
Individual
MR. NICHOLAS JAMES RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143544801
—
TX
01
—
86499Q
RUTKOWSKI
TX
01
—
P00237352
RUTKOWSKI
TX
Enumeration date
04/02/2007
Last updated
06/02/2010
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