Angela M Mudd M.S.W.

NPI 1104961952 - Specialist - 174400000X

NPI Details
NPI 1104961952
Gender Female
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3150 CUSTER DR
SUITE 203
LEXINGTON KY, 40517-4010, US
Phone (859) 271-7788
Fax (859) 273-3306
Business Location
3150 CUSTER DR
SUITE 203
LEXINGTON KY, 40517-4010, US
Phone (859) 271-7788
Fax (859) 273-3306
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 364
Remove 1104961952 NPI Number
 

According to our database, Angela M Mudd M.S.W. NPI is 1104961952, taxonomy code is 174400000X and license number is 364, license state is located at Kentucky. Angela M Mudd M.S.W. physically located at 3150 Custer Dr, Lexington KY, 40517-4010. NPI Number Angela M Mudd M.S.W. has the Individual type.

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1104961952 NPI number is provided on an as is basis without warranty of any kind. 1104961952 is maintained by the National Plan & Provider Enumeration System. The contents of Angela M Mudd M.S.W. are for informational purposes only.