Individual
MR. JOHN ELGIN RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
93 BROADLAWN, ARDMORE, OK 73401
(580) 223-4550
(580) 226-6153
Mailing address
2530 SOUTH COMMERCE, ARDMORE, OK 73401
(580) 223-4550
(580) 226-6153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2238
OK
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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