Individual
MEGAN DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
13841 GA HIGHWAY 96 E, FORT VALLEY, GA 31030-6134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005765
GA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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