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Individual

MICHELLE RUDESILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRC

Contact information

Practice address
4604 N NORMAN ST, OKLAHOMA CITY, OK 73122-4113
(405) 628-4326
Mailing address
4604 N NORMAN ST, OKLAHOMA CITY, OK 73122-4113
(405) 628-4326

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK
225C00000X
Rehabilitation Counselor
00394550
OK

Other

Enumeration date
02/18/2021
Last updated
02/18/2021
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