Individual
DAVID ANTHONY DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CADC
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 456-1991
Mailing address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801100400
MI
1041C0700X
Clinical Social Worker
Primary
6801100400
MI
Other
Enumeration date
03/19/2020
Last updated
11/27/2023
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