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1336900596
MARYANNE KUDLEK
WAXHAW, NC
NPI
1336900596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC 16130)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
Mrs. MARYANNE KUDLEK
5029 HENSHAW RD
WAXHAW, NC 28173-4546
Phone number: 631-790-5122
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Mailing Address
Mrs. MARYANNE KUDLEK
5029 HENSHAW RD
WAXHAW, NC 28173-4546
Phone number: 631-790-5122
Copy
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