Dudley, Sara Jean

Dudley, Sara Jean is an sole proprietor health care provider with primary practice located at 500 Hancock St , Saginaw MI 48602-4224. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dudley, Sara Jean can be contacted via phone (989) 797-3400.

Contact Information

Primary practice address
500 Hancock St Saginaw MI 48602-4224
Phone: (989) 797-3400
Fax: (989) 799-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6802090483 Michigan

Profile Details

NPI number 1770004731
LBN Legal business name Dudley, Sara Jean
Credentials LLBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2017
Last updated Nov 8th, 2019 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1770004731 NPPES
Michigan MEDICAID G642758385640

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