Individual
DEBRA DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374
Mailing address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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