Individual
ELLA RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1355 EAST MAIN ST., 25 GAP RD., BATESVILLE, AR 72501-2314
(870) 793-8910
(870) 793-8953
Mailing address
25 GAP RD, BATESVILLE, AR 72501-8679
(870) 793-8910
(870) 793-8953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
04/26/2012
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