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Individual

MR. JAMES E DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T0094441
NM
101YP2500X
Professional Counselor
Primary
0119791
NM

Other

Enumeration date
11/03/2006
Last updated
06/12/2014
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