Individual
MR. RONALD WAYNE LAUDERDALE
Active
Individual
MR. RONALD WAYNE LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138577
VALUE OPTIMA
TN
05
—
197473293284
—
TN
01
—
3101178
BC BST
TN
01
—
5694663
AETNA
TN
01
—
737240000
MAGELLAN
TN
Enumeration date
04/23/2007
Last updated
07/09/2008
Update your record
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