Individual
DEBORAH JEAN RUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, MS
Contact information
Practice address
5946 GUNBARREL AVE, UNIT B, BOULDER, CO 80301-6734
(303) 506-8177
Mailing address
5946 GUNBARREL AVE, UNIT B, BOULDER, CO 80301-6734
(303) 506-8177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW09923111
CO
1041C0700X
Clinical Social Worker
LW00004293
WA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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