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Individual
IRIS MARIE RUDOLPH
Active
Individual
IRIS MARIE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22473
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
105314
NY
1041C0700X
Clinical Social Worker
Primary
094294
NY
Other
Enumeration date
12/19/2018
Last updated
05/27/2026
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