Individual
AMY L DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
141 W 3RD ST, DAYTON, OH 45402-1814
(937) 461-5550
Mailing address
141 W 3RD ST, DAYTON, OH 45402-1814
(937) 461-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.2106023
CSWMFT
OH
Enumeration date
04/13/2021
Last updated
04/13/2021
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