Most Relevant Information
Provider Data
| NPI Number: | 1003568049 |
| Provider Name: | RICKY RORIE SUDP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP60068759 |
Most Important Dates
| Enumeration Date: | 01/20/2022 |
| Last Updated: | 01/20/2022 |
Provider Practice Location
524 E FRANCIS AVE
SPOKANE
WA
992081038
Practice Location Phone/Fax
| Phone: | 5093409643 |
| Fax: |
Provider Mailing Location
2727 E 53RD AVE
SPOKANE
WA
992237976
Provider Mailing Phone/Fax
| Phone: | 5067683941 |
| Fax: |