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Individual

MS. LAURA LYNN HUGHES-HUDGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
(931) 456-1047
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
(931) 520-3871

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5599
TN
1041C0700X
Clinical Social Worker
I0023038
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12179823
CAQH PIN
05
1530703
TN
01
5599
TN PROFESSIONAL LICENSE
TN
Enumeration date
09/16/2010
Last updated
01/12/2017
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