Individual
ANDREA SCHREIBMAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MPH
Contact information
Practice address
60 KATONA DR STE 19, FAIRFIELD, CT 06824-3544
(203) 257-1009
Mailing address
60 KATONA DR STE 19, FAIRFIELD, CT 06824-3544
(203) 257-1009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008055415
—
CT
Enumeration date
09/09/2014
Last updated
09/23/2020
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