Individual
JULIA DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 LINWOOD AVE, PAWTUCKET, RI 02860-5421
(774) 203-6920
Mailing address
99 LINWOOD AVE, PAWTUCKET, RI 02860-5421
(774) 203-6920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDW3488062
ALLWAYS HEALTH PARTNERS
MA
Enumeration date
11/10/2022
Last updated
11/10/2022
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