Individual
PEGGY REINES RUDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
255 SW BLUFF DR, BEND, OR 97702-3220
(757) 508-1972
Mailing address
62815 SNOWCAP CT, BEND, OR 97701-7665
(757) 508-1972
(541) 318-1249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904001080
VA
1041C0700X
Clinical Social Worker
Primary
13639
OR
Other
Enumeration date
02/06/2007
Last updated
03/28/2023
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