Individual
TRACE JULIUS DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4733 JESSICA DR NE, RIO RANCHO, NM 87144-0853
(505) 537-9725
Mailing address
1037 WATERSTONE PARK CIR, HILLSBOROUGH, NC 27278-9888
(252) 702-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0403
NM
Other
Enumeration date
05/22/2023
Last updated
05/24/2023
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