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Contact Information

LORI B RUDDICK, LCSW
1100 N COLLEGE AVE
FAYETTEVILLE, AR72703-1944
 Phone: 479-443-4301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Rehabilitation, Blind

2255R0406X
Indicates primary specialty

NPI Profile & details for LORI B RUDDICK · (Female)

NPI # 1760805956
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/24/2014
Last updated 01/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 6790-C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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