Individual
JENNIFER MARIE DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCIT
Contact information
Practice address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 986-3003
(920) 986-3004
Mailing address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 986-3003
(920) 986-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2882-226
WI
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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