Marie Dudley
Peer Specialist in Charleston, WV. Individual provider (NPI-1).
NPI number1760109920
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1760109920
- Entity type
- Individual (NPI-1)
- Name
- Marie Dudley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1109 Jefferson Rd Ste CCharleston, WV 25309-8815
Phone 877-338-2725
Mailing address
5012 Washinton Ave SeCharleston, WV 25304
Phone 681-945-2916
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All 111 Peer Specialist providers in Charleston · All 9,831 providers in Charleston
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