Individual
MS. THEIA ELIZABETH HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
9623 S PEORIA ST, CHICAGO, IL 60643-1515
(708) 860-9955
(773) 253-9419
Mailing address
9623 S PEORIA ST, CHICAGO, IL 60643-1515
(708) 860-9955
(773) 253-9419
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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