Individual
MS. RENEISHA RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 TUCKER STATION RD, LOUISVILLE, KY 40299-4525
(502) 366-0705
Mailing address
8710 ZACHARY CIR, APT 8, LOUISVILLE, KY 40214-6710
(502) 640-7561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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