Individual
ANTOINETTE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12114 SOIKA AVE, CLEVELAND, OH 44120-3182
(216) 246-5198
Mailing address
12114 SOIKA AVE, CLEVELAND, OH 44120-3182
(216) 246-5198
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RR962306
OH
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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