Individual
SHALENA CHARMAINE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N MCDONOUGH ST STE 207, JONESBORO, GA 30236-3675
(860) 941-4830
Mailing address
113 BELLINGTON DR, MCDONOUGH, GA 30253-8676
(860) 941-4830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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