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Individual

MR. TIMOTHY J. RUDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4640 SLATER RD STE 120, EAGAN, MN 55122-4043
(651) 882-5161
Mailing address
4640 SLATER RD STE 120, EAGAN, MN 55122-4043
(651) 882-5161

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00038
MN
101YP2500X
Professional Counselor
CC00038
MN

Other

Enumeration date
08/31/2007
Last updated
06/30/2010
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