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NPI Code Detail

MEDICARE: MRS. LINDA MARIE RUDEL LCSW

MEDICARE:  MRS. LINDA MARIE RUDEL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker003661CT
21041S0200XSchool Social Worker003661CT

General Provider Information

NPI Number : 1609192889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA MARIE RUDEL LCSW
Provider Business Mailing Address
First Line : 2911 DIXWELL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3195
Country : US
Telephone Number : 203-288-0156
Fax Number : 203-288-0156
Provider Business Practice Location Address
First Line : 2911 DIXWELL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3195
Country : US
Telephone Number : 203-288-0156
Fax Number : 203-288-0156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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Directions to “ MRS. LINDA MARIE RUDEL LCSW” Practice Location

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