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Individual
MR. RUDY ROMAN
Active
Individual
MR. RUDY ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF - 77503
CA
101YM0800X
Mental Health Counselor
Primary
LMFT111373
CA
106H00000X
Marriage & Family Therapist
IMF - 77503
CA
106H00000X
Marriage & Family Therapist
INTERN # - IMF55140
CA
Other
Enumeration date
12/26/2007
Last updated
03/11/2020
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