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Individual

MR. MARK LOUIS RUFFALO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, ACSW, LCSW

Contact information

Practice address
10335 CROSS CREEK BLVD, SUITE 15, TAMPA, FL 33647-2795
(727) 266-0270
Mailing address
10335 CROSS CREEK BLVD, SUITE 15, TAMPA, FL 33647-2795
(727) 266-0270

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
1041C0700X
Clinical Social Worker
C009504
NC
1041C0700X
Clinical Social Worker
SW12857
FL

Other

Enumeration date
11/15/2012
Last updated
09/20/2016
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