Individual
DANIELLE ELISE JETT RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
909 S PARK ST STE H, CARROLLTON, GA 30117-4456
(678) 601-3396
Mailing address
112 THREE WEST PKWY, VILLA RICA, GA 30180-4778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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