Rudy, Judy Alethe

Rudy, Judy Alethe is an individual health care provider with primary practice located at 196 Glenwood Dr , Eagle Point OR 97524-8595. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rudy, Judy Alethe can be contacted via phone (541) 261-1763.

Contact Information

Primary practice address
196 Glenwood Dr Eagle Point OR 97524-8595
Phone: (541) 261-1763
Fax: (541) 210-5162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X L3625 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3625 Oregon

Profile Details

NPI number 1720567100
LBN Legal business name Rudy, Judy Alethe
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Sep 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720567100 NPPES
Oregon Other L3625 CLINICAL SOCIAL WORK

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