Individual
JOANNA M RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
548 SW 13TH ST, BEND, OR 97702-3184
(541) 388-8459
Mailing address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-2631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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