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1467846113
LACY JANE RUDE
MADISON, WI
NPI
1467846113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15963-131)
Enumeration Date
2015-03-20
Last Update Date
2016-08-30
Business Address
-- LACY JANE RUDE BS, SAC
710 JOHN NOLEN DR
MADISON, WI 53713-1422
Phone number: 608-280-2700
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Mailing Address
-- LACY JANE RUDE BS, SAC
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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