Individual
MRS. KATIE ELIZABETH RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
761 POPLAR ST, STE 1-K, MACON, GA 31201-2082
(478) 412-7246
Mailing address
4350 BARRINGTON PL, MACON, GA 31210-4934
(912) 322-7539
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
03/09/2017
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