Individual
JULIE DUDDERAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3033 PETES RUN, HARBOR SPRINGS, MI 49740-8776
(616) 914-5934
Mailing address
3033 PETES RUN, HARBOR SPRINGS, MI 49740-8776
(616) 914-5934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101003596
STATE LICENSE
MI
Enumeration date
12/12/2016
Last updated
12/12/2016
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