Individual
MS. NICOLE MARIE RUED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
1585 DEMPSTER ST, MT PROSPECT, IL 60056-4978
(920) 585-0462
Mailing address
2525 OLD TAVERN RD APT 24, LISLE, IL 60532-3687
(920) 585-0462
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
424630
WI
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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