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Individual

DEBORAH RENE RUYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(763) 444-7556
(763) 434-0192
Mailing address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(763) 444-7556
(763) 434-0192

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18875
MN

Other

Enumeration date
11/08/2016
Last updated
11/08/2016
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