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Individual

JENA RUTHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
S69W15636 JANESVILLE RD, MUSKEGO, WI 53150-9330
(262) 928-7000
Mailing address
S69W15636 JANESVILLE RD, MUSKEGO, WI 53150-9330

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9200-123
WI
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/21/2020
Last updated
01/28/2021
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