Dudley, Rachael Dawn
Dudley, Rachael Dawn is an sole proprietor health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699-6865. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dudley, Rachael Dawn can be contacted via phone (229) 262-1000.Contact Information
Primary practice address
3278 Mitchell Blvd
Moody Afb GA 31699-6865
Phone: (229) 262-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003632 | Georgia |
Profile Details
| NPI number | 1235100348 |
|---|---|
| LBN Legal business name | Dudley, Rachael Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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