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NPI Code Detail

MEDICARE: SUZANNE M RUTTI MSW, LISW-S

MEDICARE:   SUZANNE M RUTTI  MSW, LISW-S
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 WorkerI.0800234-SUPVOH

General Provider Information

NPI Number : 1982812533
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M RUTTI MSW, LISW-S
Provider Business Mailing Address
First Line : 1200 W 5TH AVE
Second Line : 102D
City : COLUMBUS
State : OH
Zip : 43212-2503
Country : US
Telephone Number : 614-398-1927
Fax Number : 614-824-4271
Provider Business Practice Location Address
First Line : 1200 W 5TH AVE
Second Line : 102D
City : COLUMBUS
State : OH
Zip : 43212-2503
Country : US
Telephone Number : 614-398-1927
Fax Number : 614-824-4271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 10/09/2021

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Directions to “ SUZANNE M RUTTI MSW, LISW-S” Practice Location

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