Individual
MRS. KEENYA J. DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
713 BOOTHE ST, BATESVILLE, MS 38606-1715
(662) 710-4368
(662) 267-1708
Mailing address
PO BOX 1881, BATESVILLE, MS 38606
(662) 710-4368
(662) 267-1708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3062
MS
Other
Enumeration date
03/28/2008
Last updated
07/23/2015
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