Individual
CYNTHIA RUBLAITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
ONE MEMORIAL DRIVE, SENIOR RENEWAL PROGRAM-OLIN WING, ALTON, IL 62002-6722
(618) 463-7518
(618) 463-7896
Mailing address
1001 BOARDWALK SPRINGS PL, SUITE 111, O FALLON, MO 63368-4778
(636) 695-4554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011456
IL
Other
Enumeration date
08/28/2007
Last updated
09/29/2010
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