Taly Rutenberg LCSW

NPI 1285822080 - Social Worker - 1041C0700X

NPI Details
NPI 1285822080
Gender Female
Enumeration Date 10/05/2007
Last Updated 10/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3030 ASHBY AVE
#117
BERKELEY CA, 94705-2453, US
Phone (510) 848-6196
Fax
Business Location
3030 ASHBY AVE
#117
BERKELEY CA, 94705-2453, US
Phone (510) 848-6196
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number 16104
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According to our database, Ms. Taly Rutenberg LCSW NPI is 1285822080, taxonomy code is 1041C0700X and license number is 16104, license state is located at California. Taly Rutenberg LCSW physically located at 3030 Ashby Ave, Berkeley CA, 94705-2453. NPI Number Taly Rutenberg LCSW has the Individual type.

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1285822080 NPI number is provided on an as is basis without warranty of any kind. 1285822080 is maintained by the National Plan & Provider Enumeration System. The contents of Taly Rutenberg LCSW are for informational purposes only.