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Individual
MARY RUDISILL KEY
Active
Individual
MARY RUDISILL KEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1063
NC
1041C0700X
Clinical Social Worker
Primary
C006189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111890
—
NC
Enumeration date
11/22/2006
Last updated
03/02/2026
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