ANN RUDOLPH, L-CSW-R

Social Worker - Clinical

Active Individual
NPI: 1417013723

Practice Address

1000 MAIN ST
Port Jefferson, NY 11777

Phone: (631) 331-4458

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes R037202-1 (NY)

Frequently Asked Questions

NPI 1417013723 is the National Provider Identifier for ANN RUDOLPH, L-CSW-R, a Social Worker - Clinical provider located in Port Jefferson, NY. This NPI was enumerated on December 29, 2006.
ANN RUDOLPH, L-CSW-R practices at 1000 MAIN ST, Port Jefferson, NY 11777.

Quick Facts

NPI
1417013723
Type
Individual
Enumerated
Dec 29, 2006
Last Updated
Jul 8, 2007

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