Individual
DR. ANDREA DENICE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
301 J T STITES BLVD, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 775-4790
Mailing address
704 W CHICKASAW AVE, SALLISAW, OK 74955-4224
(918) 630-9729
(918) 775-6165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3492
OK
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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