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1891441812
KELLY ANNE RUDOLF
PRESCOTT, AZ
NPI
1891441812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-23118)
Enumeration Date
2022-02-28
Last Update Date
2024-06-12
Business Address
KELLY ANNE RUDOLF LPC
115 S MCCORMICK ST
PRESCOTT, AZ 86303-4738
Phone number: 928-756-0662
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Mailing Address
KELLY ANNE RUDOLF LPC
5649 N BRONCO LN
PRESCOTT VALLEY, AZ 86314-5856
Phone number: 516-592-7369
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