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1952400723
SIMON ALAN RUDOLPH
KNOXVILLE, TN
NPI
1952400723
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Other Name
LEN RUDOLPH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 3075)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Mr. SIMON ALAN RUDOLPH LCSW
901 E SUMMIT HILL DR
KNOXVILLE, TN 37915-1200
Phone number: 865-524-7483
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Mailing Address
Mr. SIMON ALAN RUDOLPH LCSW
5907 VAN HORN RD
KNOXVILLE, TN 37918-3831
Phone number: 865-688-4609
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