Individual
TRUDY N RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICADC
Contact information
Practice address
471 N HOPE ST, ADA, OK 74820-5232
(580) 310-4966
Mailing address
471 N HOPE ST, ADA, OK 74820-5232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
194
OK
Other
Enumeration date
06/01/2007
Last updated
06/15/2009
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