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Individual
MISS CHANNING MICHELLE RUTHERFORD
Active
Individual
MISS CHANNING MICHELLE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., BHRS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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