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1174910855
MARY RUDOLPH
ERIE, PA
NPI
1174910855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CW019986)
Enumeration Date
2015-04-21
Last Update Date
2019-02-18
Business Address
Mrs. MARY RUDOLPH
4190 E LAKE RD
ERIE, PA 16511
Phone number: 814-616-2858
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Mailing Address
Mrs. MARY RUDOLPH
4190 E LAKE RD
ERIE, PA 16511-1355
Phone number: 814-616-2858
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