CARLICE CECIL RUTTAN

WATERTOWN, NY
NPI1740540129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  079048-1)
Enumeration Date2012-05-21
Last Update Date2012-05-21
Business Address
MR. CARLICE CECIL RUTTAN LCSW
165 COLEMAN AVE
WATERTOWN, NY 13601-2217
Phone number: 315-782-2061
Mailing Address
MR. CARLICE CECIL RUTTAN LCSW
165 COLEMAN AVE
WATERTOWN, NY 13601-2217
Phone number: 315-782-2061
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