Individual
MS. SHIRLEY M. RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LP
Contact information
Practice address
7515 WAYZATA BLVD, #212, ST LOUIS PARK, MN 55426-1604
(952) 544-0300
(952) 544-0301
Mailing address
1200 NICOLLET AVE, #416, MINNEAPOLIS, MN 55403-2400
(612) 333-1385
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3153
MN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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