Individual
HOLLY L RUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
306 1ST AVE N, CLEAR LAKE, IA 50428-1807
(641) 355-6463
Mailing address
PO BOX 514, CLEAR LAKE, IA 50428-0514
(641) 355-6463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007703
IA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
11/18/2020
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