Individual
EDWARD M RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
113 COLORADO AVE STE 111, AMES, IA 50014-2406
(515) 292-9697
(970) 294-4492
Mailing address
113 COLORADO AVE STE 111, AMES, IA 50014-2406
(515) 292-9697
(970) 294-4492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00653
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098935000
—
IA
Enumeration date
08/10/2006
Last updated
11/28/2018
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