Individual
RACHEL SUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 2ND AVE NW, MANDAN, ND 58554
(701) 667-3492
Mailing address
200 2ND AVE NW, MANDAN, ND 58554
(701) 667-3492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3758
ND
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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