Individual
CAROLYN RUDOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., NCSP
Contact information
Practice address
435 NORTH ST, CRETE, IL 60417-2258
(708) 367-8477
Mailing address
8 BROOKSIDE RD, PARK FOREST, IL 60466-2505
(708) 268-8472
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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