Individual
KAITLYN DIANA RUITENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 MAIN ST, EATONTOWN, NJ 07724-3427
(848) 224-5733
Mailing address
162 MAIN ST, EATONTOWN, NJ 07724-3427
(848) 224-5733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06989500
NJ
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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