Individual
MACHELLE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
214 E HOUSTON ST, TYLER, TX 75702-8131
(903) 535-9041
(903) 531-9490
Mailing address
214 E HOUSTON ST, TYLER, TX 75702-8131
(903) 535-9041
(903) 531-9490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18675
TX
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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