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Individual

ABIGAIL L RUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
225 BROADWAY STE 3009, NEW YORK, NY 10007-3071
(212) 655-9817
Mailing address
15 W 12TH ST APT 5B, NEW YORK, NY 10011-8557
(191) 782-8299

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/13/2018
Last updated
11/13/2018
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