Individual
MS. NICOLE A RUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA LSW
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 50, BALSAM LAKE, WI 54810-9071
(715) 485-8419
(715) 485-8490
Mailing address
455 235TH AVE, CUMBERLAND, WI 54829-9324
(715) 822-4436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8374-120
WI
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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