Individual
CASEY DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 SAINT JAMES AVE, HOLYOKE, MA 01040-2321
(413) 455-9730
Mailing address
38 SAINT JAMES AVE, HOLYOKE, MA 01040-2321
(413) 455-9730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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