Dudley, Shalena Charmaine
Dudley, Shalena Charmaine is an sole proprietor health care provider with primary practice located at 122 N Mcdonough St Ste 207 , Jonesboro GA 30236-3675. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dudley, Shalena Charmaine can be contacted via phone (860) 941-4830.Contact Information
Primary practice address
122 N Mcdonough St Ste 207
Jonesboro GA 30236-3675
Phone: (860) 941-4830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1891530812 |
|---|---|
| LBN Legal business name | Dudley, Shalena Charmaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2024 |
| Last updated | Jul 1st, 2024 - 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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