Individual
LAUREN DUDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 VILLAGE ST, WALDORF, MD 20602-1838
(307) 222-4592
Mailing address
10810 WINCHESTER ST APT 110, WALDORF, MD 20603-7218
(330) 398-8903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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