Individual
MRS. KELLY ROSE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2851 S CHAMBERY AVE, SPRINGFIELD, MO 65804-3968
(417) 379-1719
Mailing address
215 S BARNES AVE, SPRINGFIELD, MO 65802-2204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
MO
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
08/23/2024
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