Individual
LISA RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
105 LOUDON RD, BUILDING 3, CONCORD, NH 03301-5601
(603) 228-0547
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 228-1551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1435
NH
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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