Individual
JOAN RUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
610 E DIAMOND AVE, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Mailing address
610 E DIAMOND AVE, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11183
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054
BLUE CROSS FEDERAL
—
01
—
212651
UNITED HEALTHCARE
MD
01
—
618478-02
CAREFIRST BLUE CHOICE
MD
Enumeration date
02/06/2007
Last updated
07/08/2007
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