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Organization

COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAXINE RUDDOCK PHD (OWNER)
(352) 508-5399
Entity
Organization

Contact information

Practice address
2511 DORA AVE, TAVARES, FL 32778-4977
(352) 508-5399
Mailing address
2511 DORA AVE, TAVARES, FL 32778-4977
(352) 508-5399

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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