Rutkowski, Mark Anthony

Rutkowski, Mark Anthony is an individual health care provider with primary practice located at 8322 Traford Ln # D , Springfield VA 22152-1668. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rutkowski, Mark Anthony can be contacted via phone (703) 569-2168.

Contact Information

Primary practice address
8322 Traford Ln # D Springfield VA 22152-1668
Fax: (703) 913-1193
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X VA74 Virginia

Profile Details

NPI number 1326051194
LBN Legal business name Rutkowski, Mark Anthony
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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