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1023261625
STEPHANIE RUDOLPH
SAN CARLOS, CA
NPI
1023261625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC42322)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- STEPHANIE RUDOLPH MFT
1161 CHERRY ST STE P
SAN CARLOS, CA 94070-3137
Phone number: 650-281-6452
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Mailing Address
-- STEPHANIE RUDOLPH MFT
1161 CHERRY ST STE P
SAN CARLOS, CA 94070-3137
Phone number: 650-281-6452
Copy
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