Individual
MRS. MARANDA RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4646 HILRY HUCKABY DR, SHREVEPORT, LA 71107-5707
(318) 670-7134
Mailing address
4646 HILRY HUCKABY DR, SHREVEPORT, LA 71107-5707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12968
LA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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