Individual
MS. LISA JOY RUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
Mailing address
3440 GOLFVIEW DR UNIT 201, EAGAN, MN 55123-1284
(651) 602-0639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11729
MN
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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