Dudley, Brent Thomas
Dudley, Brent Thomas is an sole proprietor health care provider with primary practice located at 16531 Nw 18Th Ave , Opa Locka FL 33054-6617. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dudley, Brent Thomas can be contacted via phone (786) 985-3618.Contact Information
Primary practice address
16531 Nw 18Th Ave
Opa Locka FL 33054-6617
Phone: (786) 985-3618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW16576 | Florida |
Profile Details
| NPI number | 1912529256 |
|---|---|
| LBN Legal business name | Dudley, Brent Thomas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2020 |
| Last updated | May 12th, 2020 - about 6 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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