Individual
MS. BRENDA RENA DUDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W LITTLE GARNER RD, ASHLAND, KY 41102-7508
(606) 923-5093
Mailing address
711 W LITTLE GARNER RD, ASHLAND, KY 41102-7508
(606) 923-5093
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000071867
KY
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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