Individual
MRS. SUSAN KAY KUDER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11037 ERICKSON WAY SPC 1811037, REDDING, CA 96003-2934
(856) 431-4629
Mailing address
11037 ERICKSON WAY SPC 1811037, REDDING, CA 96003-2934
(856) 431-4629
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
C3417740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C3417740
—
CA
Enumeration date
07/03/2021
Last updated
07/03/2021
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