Individual
BRAXTON MASSEY DUDLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 786-9314
Mailing address
1742 WALNUT ST APT 5, BOULDER, CO 80302-5530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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