Rudolph Hagwood JR.

NPI #1023852530 in Bridgeport, Connecticut

Provider Information

NPI Number: 1023852530
Entity Type: Individual
Name: Rudolph Hagwood JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 20, 2024
Last Updated: Jun 20, 2024

Practice Location

Address: 1635 FAIRFIELD AVE
City: Bridgeport
State: Connecticut
ZIP Code: 06605-1984
Phone: (203) 335-3518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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