Individual
SHANTICA L RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
Mailing address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW04407
RI
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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