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Individual

MS. RUTH ANN ORMISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 55433-5831
(763) 780-1520
Mailing address
199 COON RAPIDS BLVD NW STE 306, COON RAPIDS, MN 55433-5861
(763) 780-1520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5345
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94491500
MN
Enumeration date
10/04/2006
Last updated
07/08/2007
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