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Individual

PATRICIA DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
6659 BUCKSTONE CT, COLUMBIA, MD 21044-4103
(301) 537-4740
Mailing address
6659 BUCKSTONE CT, COLUMBIA, MD 21044-4103
(301) 537-4740

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8140
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC8140
MD BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS
MD
Enumeration date
01/03/2020
Last updated
01/03/2020
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