Individual
ANITA ANN RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 LASATER RD TR 236, DALLAS, TX 75253
(972) 201-7300
Mailing address
14900 LASATER RD TR 236, DALLAS, TX 75253
(972) 201-7300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14783
TX
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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