Individual
TAHNOQUA RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 N WOODLAWN ST, 102, WICHITA, KS 67208-3646
(316) 651-1226
(316) 652-2590
Mailing address
555 N WOODLAWN ST, 102, WICHITA, KS 67208-3646
(316) 651-1226
(316) 652-2590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9572
KS
Other
Enumeration date
10/07/2015
Last updated
06/14/2017
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