Individual
AUDREY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DOWD CIR, PINEHURST, NC 28374
(910) 295-2609
Mailing address
5 DOWD CIR, PINEHURST, NC 28374-7932
(910) 295-2609
(800) 948-6061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-03077
SC
Other
Enumeration date
01/18/2018
Last updated
09/25/2019
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