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Individual

MRS. LAUREL AMANDA RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2150 LEXINGTON RD, RICHMOND, KY 40475-7924
(833) 381-4759
Mailing address
2031 IDYLWILD CT, RICHMOND, KY 40475-3607
(859) 979-2853

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
173512
KY

Other

Enumeration date
06/15/2017
Last updated
02/02/2023
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