Individual
JOAN C DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 NW BOND ST, BEND, OR 97701
(541) 306-7618
Mailing address
20370 POE SHOLES DRIVE, BEND, OR 97701
(541) 306-7618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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