Individual
MISS BIANCA RUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1321 NW 13TH ST, MIAMI, FL 33125-1603
(754) 300-6745
Mailing address
1321 NW 13TH ST, MIAMI, FL 33125-1603
(754) 300-6745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008888
GA
1041C0700X
Clinical Social Worker
SW16520
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/28/2021
Last updated
07/27/2024
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