Most Relevant Information
Provider Data
| NPI Number: | 1003257015 |
| Provider Name: | DEBORAH JEAN RUTT PHD, LCSW, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW09923111 |
Most Important Dates
| Enumeration Date: | 07/08/2013 |
| Last Updated: | 07/08/2013 |
Provider Practice Location
5946 GUNBARREL AVE
UNIT B
BOULDER
CO
803016734
Practice Location Phone/Fax
| Phone: | 3035068177 |
| Fax: |
Provider Mailing Location
5946 GUNBARREL AVE
UNIT B
BOULDER
CO
803016734
Provider Mailing Phone/Fax
| Phone: | 3035068177 |
| Fax: |