Individual
CAROLINA RUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13841 HULL STREET RD STE 4, MIDLOTHIAN, VA 23112-2056
(727) 667-8852
Mailing address
719 HOLLY ST, RICHMOND, VA 23220-6511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000356
VA
Other
Enumeration date
02/16/2021
Last updated
10/18/2024
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