Individual
MRS. TAMMY RUDEBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16503 LACROSS LN, CHESTERFIELD, MO 63005-4607
(314) 541-3195
Mailing address
16503 LACROSS LN, CHESTERFIELD, MO 63005-4607
(314) 541-3195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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