Individual
AMY RUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
74 SWEET BRIAR DR APT 21, CLARK, NJ 07066-2025
(732) 492-4782
Mailing address
74 SWEET BRIAR DR APT 21, CLARK, NJ 07066-2025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05729000
NJ
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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