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Individual

PATRICIA M. HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.S.W., D.T.

Contact information

Practice address
1025 PLEASANT PLACE #4C, OAK PARK, IL 60302-3167
(708) 435-3148
Mailing address
1025 PLEASANT PLACE #4C, OAK PARK, IL 60302-3167
(708) 435-3148

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150-00-7764
IL
222Q00000X
Developmental Therapist
IL

Other

Enumeration date
03/23/2007
Last updated
01/16/2020
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