ANN M RUDOLPH

PORT JEFFERSON, NY
NPI1417013723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R037202-1)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
-- ANN M RUDOLPH L-CSW-R
1000 MAIN ST
PORT JEFFERSON, NY 11777-2250
Phone number: 631-331-4458
Mailing Address
-- ANN M RUDOLPH L-CSW-R
1000 MAIN ST
PORT JEFFERSON, NY 11777-2250
Phone number: 631-331-4458
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