Individual
EVA ISABELLA DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP
Contact information
Practice address
1547 PROSPERITY FARMS RD, LAKE PARK, FL 33403-2025
(561) 301-9423
Mailing address
16105 88TH RD N, LOXAHATCHEE, FL 33470-2845
(561) 301-9423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP100191
FL
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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