Individual
ERICA RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
Mailing address
4159 LOWELL BLVD, DENVER, CO 80211-1658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0009921447
CO
1041C0700X
Clinical Social Worker
Primary
09925996
CO
Other
Enumeration date
09/26/2017
Last updated
07/10/2019
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