Individual
MRS. SARA LYNN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6 S CEDARBLUFF CT, GREER, SC 29650-2979
(864) 313-0074
Mailing address
6 S CEDARBLUFF CT, GREER, SC 29650-2979
(864) 313-0074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
08/05/2006
Last updated
07/08/2007
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