Individual
RUDDY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5391 CARIBOU AVE, ANCHORAGE, AK 99508-2560
(907) 223-3632
Mailing address
PO BOX 200688, ANCHORAGE, AK 99520-0688
(907) 223-3632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1372
AK
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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