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1528200524
LAATASHA RUDOLPH
CHEYENNE, WY
NPI
1528200524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 165)
Enumeration Date
2009-04-06
Last Update Date
2011-04-15
Business Address
Ms. LAATASHA RUDOLPH BSW, CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
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Mailing Address
Ms. LAATASHA RUDOLPH BSW, CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
Copy
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