LACY RUDDER

OMAHA, NE
NPI1669169322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-2056)
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
LACY RUDDER PLDAC
8502 MORMON BRIDGE RD
OMAHA, NE 68152-1929
Phone number: 402-991-8518
Mailing Address
LACY RUDDER PLDAC
8502 MORMON BRIDGE RD
OMAHA, NE 68152-1929
Phone number: 402-991-8518
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