Individual
STEPHANIE L BARTZ HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 PERSIMMON PKWY, HEBRON, IN 46341-8621
(219) 508-1964
Mailing address
617 PERSIMMON PKWY, HEBRON, IN 46341-8621
(219) 508-1964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-5197
IN
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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