PRUDENCE MUNDY

Social Worker

Active Individual
NPI: 1891414504

Practice Address

452 W MARKET ST
Xenia, OH 45385

Phone: (937) 376-8700

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No LCDCII.162039 (OH)
Rehabilitation Practitioner 225400000X No -
Social Worker 104100000X Yes W.2300390 (OH)

Frequently Asked Questions

NPI 1891414504 is the National Provider Identifier for PRUDENCE MUNDY, a Social Worker provider located in Xenia, OH. This NPI was enumerated on August 25, 2022.
PRUDENCE MUNDY practices at 452 W MARKET ST, Xenia, OH 45385.

Quick Facts

NPI
1891414504
Type
Individual
Enumerated
Aug 25, 2022
Last Updated
Jun 11, 2025

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