Individual
KIMBERLY DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1749 GEORGES LN, PHILADELPHIA, PA 19131-3313
(215) 740-5972
Mailing address
1749 GEORGES LN, PHILADELPHIA, PA 19131-3313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000876
PA
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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