Organization
NANCY ANN RUTKOWSKI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN RUTKOWSKI LCSW (OWNER)
(812) 330-1325
Entity
Organization
Contact information
Practice address
712 N WASHINGTON ST, BLOOMINGTON, IN 47408-3450
(812) 330-1325
Mailing address
712 N WASHINGTON ST, BLOOMINGTON, IN 47408-3450
(812) 330-1325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003667
IN
Other
Enumeration date
02/28/2007
Last updated
01/24/2011
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