Provider Information for 1477324341
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KAYLEIGH DUDLEY LMSW
Sex: Female
NPI: 1477324341
Last Updated: 2024-01-10
Certification Date: 2024-01-10
Certification Date: 2024-01-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477324341 | ||||||||
| Enumeration Date | 2024-01-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6017 MIMOSA LN ROWLETT, TX 75089-3118 United States Phone: 972-809-6642 | Fax: | ||||||||
| Primary Practice Address | 1244 SOUTHRIDGE CT HURST, TX 76053-4307 United States Phone: 972-926-3711 | Fax: | ||||||||
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