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1295390631
JACQUELINE M RUDDY
HUNTINGTON BEACH, CA
NPI
1295390631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 53280)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
JACQUELINE M RUDDY ASW
2130 MAIN ST STE 120
HUNTINGTON BEACH, CA 92648-6476
Phone number: 714-402-5106
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Mailing Address
JACQUELINE M RUDDY ASW
918 MAIN ST APT C
HUNTINGTON BEACH, CA 92648-3457
Phone number: 714-402-5106
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