Provider Information for 1932598794
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ASHLEE RUDOLPH LMHC
Sex: Female
NPI: 1932598794
Last Updated: 2024-03-13
Certification Date: 2024-03-13
Certification Date: 2024-03-13
Details
| Name | Value | ||||||||
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| NPI | 1932598794 | ||||||||
| Enumeration Date | 2015-01-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 730 ANDOVER, NY 14806-0730 United States Phone: 716-803-9926 | Fax: | ||||||||
| Primary Practice Address | 35 ROCHAMBEAU AVE ANDOVER, NY 14806-9674 United States Phone: 716-803-9926 | Fax: | ||||||||
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