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1285972703
JACQUELYN T RUDA
PHOENIX, AZ
NPI
1285972703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LMSW-13798)
Enumeration Date
2013-01-17
Last Update Date
2013-01-17
Business Address
-- JACQUELYN T RUDA LMSW
3306 W CATALINA DR
PHOENIX, AZ 85017-5291
Phone number: 602-353-0703
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Mailing Address
-- JACQUELYN T RUDA LMSW
4747 N 7TH ST SUITE 100
PHOENIX, AZ 85014-3653
Phone number: 602-279-7655
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