Individual
EMILY W RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 HOLLY LAKE CIR, SNELLVILLE, GA 30078-6742
(404) 805-4208
Mailing address
1505 HOLLY LAKE CIR, SNELLVILLE, GA 30078-6742
(404) 274-7592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007991
GA
Other
Enumeration date
04/05/2022
Last updated
11/08/2022
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