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Individual

ELIZABETH RUTKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
1 MAIN ST, RIVERSIDE, RI 02915-3236
(401) 331-1350
(401) 277-3366

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01907
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1021740
NHP GROUP NUMBER
05
ER62273
RI
Enumeration date
09/20/2007
Last updated
04/11/2008
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