Individual
TRACI RUDOLF-HANRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
310 NORTH BUXTON STREET, INDIANOLA, IA 50125
(515) 358-7610
Mailing address
310 NORTH BUXTON STREET, INDIANOLA, IA 50125
(515) 358-7610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082265
IA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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