Angela M Mudd, M.S.W.

NPI #1104961952 in Lexington, Kentucky

Provider Information

NPI Number: 1104961952
Entity Type: Individual
Name: Angela M Mudd, M.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.W.
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3150 CUSTER DR
Address 2: SUITE 203
City: Lexington
State: Kentucky
ZIP Code: 40517-4010
Phone: (859) 271-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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