Individual
INDIA DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4587 MUIRWOOD CIR, POWDER SPRINGS, GA 30127-4713
(404) 980-2077
Mailing address
4587 MUIRWOOD CIR, POWDER SPRINGS, GA 30127-4713
(404) 980-2077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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