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Individual

MS. RUTH A. HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, MA, LCDC

Contact information

Practice address
1820 SUNNYBROOK DR, IRVING, TX 75061-2161
(972) 254-3344
Mailing address
1820 SUNNYBROOK DR, IRVING, TX 75061-2161
(972) 254-3344

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
4971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11915043
DRIVERS LICENSE
TX
Enumeration date
08/19/2006
Last updated
07/08/2007
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