Stacey J Rutherford, Licsw P.c.
NPI #1790842052 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1790842052
- Entity Type
- Organization
- Organization Name
- Stacey J Rutherford, Licsw P.c.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 198 RUSSELL ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01609-2200
- Phone
- (508) 438-0110
Authorized Official
- Name
- STACEY JENEE RUTHERFORD, LICSW, MSW
- Title
- PRESIDENT
- Phone
- (508) 438-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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