Individual
ANGELA KATHLEEN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3318 N COLE RD, BOISE, ID 83704-4403
(208) 375-2730
Mailing address
3318 N COLE RD, BOISE, ID 83704-4403
(208) 375-2730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32391
ID
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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