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Individual

PAUL DAVID HART RUTHENBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
401 DIVISION ST S, SUITE A, NORTHFIELD, MN 55057-2095
(507) 664-9407
(507) 664-3862
Mailing address
401 DIVISION ST S, SUITE A, NORTHFIELD, MN 55057-2095
(507) 664-9407
(507) 664-3862

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303259
MN

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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