| Doctor Name: | SHARON DUDLEY |
| NPI Number: | 1083785463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 005810 |
| Business Practice Address: | 151 Hazard Ave Enfield, CT - 060824584 |
| Business Phone Number: | 8607638044 |
| Business Fax Number: | 8602722990 |
| Mailing Address: | 995 Day Hill Rd, WINDSOR |
| State: | CT |
| Postal Code: | 060951722 |
| Phone Number: | 8607315522 |
| Fax Number: | 8607315536 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 005810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |