NPI 1124614433

Jena Rutherford

Practitioner Clinical Social Worker Muskego, WI

Practice location

Address: S69w15636 Janesville Rd, Muskego, WI 53150-9330
Phone: (262) 928-7000

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 9200-123 (WI)

Other Social Worker providers in Wisconsin →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI: 1124614433
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2020
Record last updated: 28 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.