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Individual

MS. INTA A RUTINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW LICSW

Contact information

Practice address
1500 FOREST GLEN ROAD, HOLY CROSS HOSPITAL, SILVER SPRING, MD 20910-1484
(301) 754-7866
(301) 754-7504
Mailing address
1501 LADD STREET, SILVER SPRING, MD 20902-3518
(301) 649-3135

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01989
MD
1041C0700X
Clinical Social Worker
LC0301322
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410176600
MD
Enumeration date
05/06/2008
Last updated
05/06/2008
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