Individual
PAMELA BROOKE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12703677-3503
UT
171M00000X
Case Manager/Care Coordinator
218329688
UT
Other
Enumeration date
09/07/2015
Last updated
04/03/2024
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