| Stacey J Rutherford, Licsw P.c. | |
|
198 Russell St Worcester MA 01609-2200 | |
| (508) 438-0110 | |
| Not Available |
| Full Name | Stacey J Rutherford, Licsw P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 198 Russell St, Worcester, Massachusetts |
| Authorized Official Name and Position | Stacey Jenee Rutherford (PRESIDENT) |
| Authorized Official Contact | 5084380110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey J Rutherford, Licsw P.c. 198 Russell St Worcester MA 01609-2200 Ph: (508) 438-0110 | Stacey J Rutherford, Licsw P.c. 198 Russell St Worcester MA 01609-2200 Ph: (508) 438-0110 |
| NPI Number | 1790842052 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790842052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110648 (Massachusetts) | Primary |
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