Individual
BROOKE ASHLIE RUDOLPH
Active
Individual
BROOKE ASHLIE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107973
NY
1041C0700X
Clinical Social Worker
Primary
44SL06680500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244371
—
NY
Enumeration date
08/23/2018
Last updated
04/01/2025
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