Individual
MS. RUTH A GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
1905 S CENTRAL AVE, MARSHFIELD, WI 54449-4917
(715) 898-1665
Mailing address
125 FILLMORE ST, BLACK RIVER FALLS, WI 54615-1740
(715) 898-1665
(715) 898-1240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14680-132
WI
1041C0700X
Clinical Social Worker
Primary
128564-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39174000
—
WI
Enumeration date
05/13/2010
Last updated
02/16/2022
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