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Individual

MR. DAVID MARK RUTHERFORD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
305 S LUCILE ST, SEATTLE, WA 98108-2435
(206) 764-5149
Mailing address
7926 110TH AVE SE APT 1304, NEWCASTLE, WA 98056-1691
(206) 702-8191

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4086C
AL
1041C0700X
Clinical Social Worker
LW61263209
WA

Other

Enumeration date
05/05/2016
Last updated
11/29/2022
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