Individual
MICHAEL JOHN BUDLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 MARSH POINT LN, ISLE OF PALMS, SC 29451-2896
(312) 391-5913
Mailing address
9 MARSH POINT LN, ISLE OF PALMS, SC 29451-2896
(312) 391-5913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12786
SC
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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