Individual
CANDE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW, CAADC
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 657-5574
Mailing address
3392 RIVERSIDE RD, BENTON HARBOR, MI 49022-9527
(269) 208-9392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801099930
MI
Other
Enumeration date
02/23/2017
Last updated
06/02/2021
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