Individual
MRS. SARA JEAN DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
500 HANCOCK ST, SAGINAW, MI 48602-4224
(989) 797-3400
(989) 799-0206
Mailing address
500 HANCOCK ST, SAGINAW, MI 48602-4224
(989) 797-3400
(989) 799-0206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802090483
MI
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G642758385640
—
MI
Enumeration date
06/29/2017
Last updated
11/08/2019
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