Individual
MISS NIKIA SHAUNTREESE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
1340 HAVENSVILLE RD, APT. A, SOUTHAVEN, MS 38671-6157
(601) 543-5204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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