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
Fax: (912) 756-7146
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295784965 NPPES
Georgia MEDICAID 916944984A

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