Dudley, Sybil W.
Dudley, Sybil W. is an sole proprietor health care provider with primary practice located at 50 Ford Way Ste 103 , Richmond Hill GA 31324-4438. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dudley, Sybil W. can be contacted via phone (912) 756-7136.Contact Information
Primary practice address
50 Ford Way Ste 103
Richmond Hill GA 31324-4438
Phone: (912) 756-7136
Fax: (912) 756-7146
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW#002924 | Georgia |
Profile Details
NPI number | 1295784965 |
---|---|
LBN Legal business name | Dudley, Sybil W. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2006 |
Last updated | Jan 16th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295784965 | NPPES |
Georgia | MEDICAID | 916944984A |
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