Individual
MRS. CYNTHIA DENISE RUGULEISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 HIGHWAY 2 STE 4, SANDPOINT, ID 83864-2724
(208) 261-2740
Mailing address
1315 HIGHWAY 2 STE 4, SANDPOINT, ID 83864-2724
(406) 546-9818
(208) 625-2062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31142
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806064200
—
ID
05
—
806106400
—
ID
Enumeration date
12/19/2006
Last updated
01/09/2024
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