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Individual

MS. MARIE K UDULUTCH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
707 N MICHIGAN ST, STE. 400, SOUTH BEND, IN 46601-1067
(574) 647-1068
Mailing address
328 N MICHIGAN ST, STE. 200, SOUTH BEND, IN 46601-1244
(574) 647-1845
(574) 647-1825

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040909A
IN

Other

Enumeration date
12/09/2005
Last updated
07/08/2007
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