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Individual

MRS. RUTH ELLEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
401 16TH ST SE STE 100, ROCHESTER, MN 55904-7974
(507) 516-0030
(507) 516-0031
Mailing address
309 8TH ST NW, AUSTIN, MN 55912-2368
(507) 438-6559

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03976
MN

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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