Individual
MATTHEW RUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 356-2000
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 356-2000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000418594
ND
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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