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MARY M RUHLAND LISW

Addiction Substance Use Disorder

Sioux City, Iowa

Provider NPI: 1326030545

Provider Information:
 MARY M RUHLAND LISW
Gender: F
Sole Proprietor


Practice Location:
705 DOUGLAS, SUITE325, BENSON BLDG SIOUX CITY, IA 51101 US
Tel: 712-277-3200  Fax: 712-277-3208

Business Mailing Address:
1339 NODAWAY RD  JACKSON, NE 68743 US
Tel: 402-632-7202  Fax: 712-277-3208

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IA92026
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
IA01284

Other Provider Identifiers:

IssuerNumberStateType
VALUE OPTIONS127712IA01
APS203761197001IA01
2190223IA05
6570653SD04
BCBS03727IA01
MIDLANDS CHOICE10827IA01
MHN253668IA01
UBH103277513IA01
203761197IA05
I16669IA08
NIP132603054501
S83077IA02
GROUPI16668IA04
PRINCIPAL203761197IA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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