Individual
MR. ADAM MATTHEW RUEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5206
Mailing address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0029793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0029793
LISW
OH
Enumeration date
07/30/2006
Last updated
07/08/2007
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