Mark Alan De Ruyter, LMSW

NPI #1427482199 in Spencer, Iowa

Provider Information

NPI Number
1427482199
Entity Type
Individual
Name
Mark Alan De Ruyter, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LMSW
Enumeration Date
Aug 29, 2013
Last Updated
Aug 29, 2013

Practice Location

Address
116 E. 11TH ST.
State
Iowa
ZIP Code
51301
Phone
(712) 264-6048

Specialties & Taxonomy Codes

Specialty
Social Worker

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