Individual
DELTA RUDEEN RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986-1629
(309) 262-7653
Mailing address
567 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986-1629
(309) 262-7653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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