Individual
JODY VIVIAN CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
424 WEST MARKET STREET, SUITE A, SNOW HILL, MD 21863-3547
(410) 632-4510
Mailing address
108 WEST FEDERAL STREET, SNOW HILL, MD 21863-3547
(410) 632-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G04810
MD
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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