Individual
SHELLY RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
16126 S AVALON ST, OLATHE, KS 66062-2699
(913) 449-8931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10078
KS
104100000X
Social Worker
2017037388
MO
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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