Individual
RACHELLE RENE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1001 16TH ST S, ST PETERSBURG, FL 33705-2231
(727) 543-6527
(727) 896-1426
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 896-1426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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