Individual
JAN OPHELIA RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 MOUNT LAUREL RD, MOUNT LAUREL, NJ 08054-9556
(856) 802-0186
(856) 802-0186
Mailing address
327 MOUNT LAUREL RD, MOUNT LAUREL, NJ 08054-9556
(856) 802-0186
(856) 802-0186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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