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Individual

LETHA DALINE DUDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
61 TROTTERS WAY, TORRINGTON, CT 06790-2364
(860) 489-0938
Mailing address
1207 LENHAM CT, SUN CITY CENTER, FL 33573-6312
(860) 496-8312
(860) 496-9748

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002510
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004168771
CT
Enumeration date
10/17/2006
Last updated
09/13/2017
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