Individual
MRS. BONNIE MARIE RUDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
13422 CLAYTON RD STE 202, SAINT LOUIS, MO 63131
(314) 594-8081
(636) 463-2848
Mailing address
102 SHEFFIELD CT, BALLWIN, MO 63011-3323
(314) 594-8081
(636) 463-2849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002693
MO
Other
Enumeration date
05/06/2007
Last updated
05/08/2019
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