Dallas D Dudley

NPI #1477325611 in Petoskey, Michigan

Provider Information

NPI Number: 1477325611
Entity Type: Individual
Name: Dallas D Dudley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 910 SPRING ST STE 4
City: Petoskey
State: Michigan
ZIP Code: 49770-2881
Phone: (231) 268-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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