Individual
BONNIE RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 E DICKENS ST, SLATON, TX 79364-3522
(806) 777-3269
Mailing address
125 E DICKENS ST, SLATON, TX 79364-3522
(806) 777-3269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51784
TX
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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