Individual
ANNETTE MARIE CUDNOHUFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E LITTLE CREEK RD STE 204, NORFOLK, VA 23518-4137
(804) 261-4163
Mailing address
8115 DIVEN ST, NORFOLK, VA 23505-1417
(805) 433-5029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-193062
VA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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