Provider Information for 1154764967
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CAROLINA DUDLEY LMSW
Sex: Female
NPI: 1154764967
Last Updated: 2023-11-20
Certification Date: 2023-11-20
Certification Date: 2023-11-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1154764967 | ||||||||
| Enumeration Date | 2013-04-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4925 PACKARD ST ANN ARBOR, MI 48108-1521 United States Phone: 734-971-9781 | Fax: | ||||||||
| Primary Practice Address | 4925 PACKARD ST ANN ARBOR, MI 48108-1521 United States Phone: 734-971-9781 | Fax: | ||||||||
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