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NPI Code Detail

MEDICARE: MS. SUSAN KAY DUDEK MSW, MA

MEDICARE:  MS. SUSAN KAY DUDEK  MSW, MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist252MA
21041C0700XClinical Social Worker1020818MA

General Provider Information

NPI Number : 1396824728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN KAY DUDEK MSW, MA
Provider Business Mailing Address
First Line : 11 LINDEN ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-3207
Country : US
Telephone Number : 413-221-6433
Fax Number :
Provider Business Practice Location Address
First Line : 43 CENTER ST STE 305
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-3062
Country : US
Telephone Number : 413-221-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2006
Last Update Date : 10/27/2023

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Directions to “ MS. SUSAN KAY DUDEK MSW, MA” Practice Location

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