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Organization

JASMINE ALISHIA RUTHERFORD PSYD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA VICTORIA MCMICKENS (BUSINESS MANAGER)
(770) 386-8996
Entity
Organization

Contact information

Practice address
17 FELTON PL, SUITE A, CARTERSVILLE, GA 30120-2153
(770) 386-8996
(770) 386-8100
Mailing address
17 FELTON PL, SUITE A, CARTERSVILLE, GA 30120-2153
(770) 386-8996
(770) 386-8100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003814
GA

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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