Individual
MRS. AMANDA JANE DUDDLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 280-1234
(574) 280-4605
Mailing address
415 E MADISON ST, P.O. BOX 1240, SOUTH BEND, IN 46617-2322
(574) 280-1234
(574) 280-4605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/04/2005
Last updated
03/15/2012
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