Individual
KEIONA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7905 OAK FOREST DR, PENSACOLA, FL 32514-4528
(850) 261-4965
Mailing address
7905 OAK FOREST DR, PENSACOLA, FL 32514-4528
(850) 261-4965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW22529
FL
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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