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Individual

MS. RUTH BROOKE MARKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LICENSED PSYCHOLO

Contact information

Practice address
614 PORTLAND AVE, #120, ST PAUL, MN 55102-2273
(651) 222-5457
(651) 291-2728
Mailing address
614 PORTLAND AVE, #120, ST PAUL, MN 55102-2273
(651) 222-5457
(651) 291-2728

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 0368
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04525MA
BCBSM
MN
Enumeration date
08/30/2006
Last updated
07/08/2007
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