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Individual
PRUDENCE MUNDY
Active
Individual
PRUDENCE MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.162039
OH
104100000X
Social Worker
Primary
W.2300390
OH
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/25/2022
Last updated
06/11/2025
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