Individual
SHAUNA E RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 MARKET ST APT 202, LEXINGTON, KY 40507-1146
(606) 272-0243
Mailing address
176 MARKET ST APT 202, LEXINGTON, KY 40507-1146
(606) 272-0243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256281
KY
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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