Individual
SHANAE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW, LISW-CP
Contact information
Practice address
121 GLEN OAKS DR, SAVANNAH, GA 31405-2761
(202) 730-8996
Mailing address
1348 EISENHOWER DR UNIT 16192, SAVANNAH, GA 31416-7817
(202) 730-8996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13456
SC
1041C0700X
Clinical Social Worker
Primary
CSW006950
GA
1041C0700X
Clinical Social Worker
LC50082640
DC
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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