Individual
NICHOLAS RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
96 MIKE RUTLEDGE RD, LUMBERTON, MS 39455-7605
(202) 309-7982
Mailing address
1616 WILLIAMS DR, LEAKESVILLE, MS 39451-5622
(228) 374-2494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8105
MS
Other
Enumeration date
03/16/2012
Last updated
08/31/2017
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