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Individual

ANNA LEAH RUDASILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1805 FLORENCE RD, SUITE 10, KILLEEN, TX 76541-8523
(254) 526-4673
(254) 526-4853
Mailing address
PO BOX 416, TEMPLE, TX 76503-0416
(254) 778-4673
(254) 526-4853

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66108
TX

Other

Enumeration date
02/08/2013
Last updated
02/08/2013
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