Individual
JENNIFER HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MINENTONKA DR, CHEROKEE VILLAGE, AR 72529-2609
(870) 243-6792
Mailing address
4 MINENTONKA DR, CHEROKEE VILLAGE, AR 72529-2609
(870) 243-6792
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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