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NPI Code Detail

MEDICARE: KATHLEEN RUIZ LCSW

MEDICARE:   KATHLEEN  RUIZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker10439497-3501UT

General Provider Information

NPI Number : 1346618303
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN RUIZ LCSW
Provider Business Mailing Address
First Line : 3815 W 700 N
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-8132
Country : US
Telephone Number : 435-773-3267
Fax Number :
Provider Business Practice Location Address
First Line : 3815 W 700 N
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-8132
Country : US
Telephone Number : 435-773-3267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 01/09/2026

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Directions to “ KATHLEEN RUIZ LCSW” Practice Location

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