Individual
DEANNA RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FOXCROFT AVE STE 101, MARTINSBURG, WV 25401-5302
(304) 443-1408
Mailing address
5555 DRY RUN RD, HEDGESVILLE, WV 25427-7358
(304) 261-0337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00944876
WV
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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