Provider Demographics
NPI:1194134452
Name:RUTLEDGE, MARGARET B (MSW, LCSW-BACS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:RUTLEDGE
Suffix:
Gender:F
Credentials:MSW, LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 PINE RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-3488
Mailing Address - Country:US
Mailing Address - Phone:318-455-0508
Mailing Address - Fax:
Practice Address - Street 1:2018 PINE RIDGE WAY
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006-3488
Practice Address - Country:US
Practice Address - Phone:318-455-0508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA38971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical