Individual
PATRINA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
PO BOX 1309 - MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21368
MN
Other
Enumeration date
08/16/2022
Last updated
11/01/2022
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