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1699211185
PHILIP RUDDY
SOUTH PASADENA, CA
NPI
1699211185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT107495)
Enumeration Date
2017-01-09
Last Update Date
2018-07-11
Business Address
PHILIP RUDDY
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Phone number: 323-344-5536
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Mailing Address
PHILIP RUDDY
205 PASADENA AVE
SOUTH PASADENA, CA 91030-2919
Phone number: 323-344-5536
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