Individual
JENNIFER RURAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL, NEW HAVEN, CT 06510
(203) 688-0279
Mailing address
22 MARGO CIR, NORTH HAVEN, CT 06473-1924
(551) 265-3760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8579
CT
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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