Individual
AMY RUDDLE SHOHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1303 SAN CARLOS AVE, SAN CARLOS, CA 94070-2317
(650) 400-5867
Mailing address
610 ELM ST, SAN CARLOS, CA 94070-8401
(650) 400-5867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
20064
CA
1041C0700X
Clinical Social Worker
Primary
20064
CA
Other
Enumeration date
09/11/2018
Last updated
04/22/2025
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