Individual
STACIE HOPE RUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CSW,LISW, LCSW
Contact information
Practice address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 331-3292
(859) 578-2864
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3339
KY
Other
Enumeration date
11/21/2006
Last updated
12/15/2009
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