Individual
MRS. TINA TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 PARDEE RD, ROCHESTER, NY 14609-2810
(585) 339-1375
(585) 339-1379
Mailing address
600 PARDEE RD, ROCHESTER, NY 14609-2810
(585) 339-1375
(585) 339-1379
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72047127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295
—
NY
Enumeration date
10/10/2012
Last updated
10/10/2012
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