Individual
MS. ALLIE MARIE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 E WASHINGTON ST STE 2D, BLOOMINGTON, IL 61701-4365
(309) 822-2261
Mailing address
3506 GABBY DR, BLOOMINGTON, IL 61704-8684
(309) 533-8486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.018526
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2021
Last updated
05/02/2023
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