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Individual

CANDACE RUTKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFT, RPT-S

Contact information

Practice address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736
(651) 564-8456
Mailing address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1413-124
WI
106H00000X
Marriage & Family Therapist
3072
MN

Other

Enumeration date
04/24/2016
Last updated
06/05/2025
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