Organization
WILLOW TREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE B. HUDSON LSCSW (OWNER)
(620) 325-3187
Entity
Organization
Contact information
Practice address
4922 OAK HILL DR, NEODESHA, KS 66757-1790
(620) 325-3187
Mailing address
4922 OAK HILL DR, NEODESHA, KS 66757-1790
(620) 325-3187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2450
KS
Other
Enumeration date
07/27/2008
Last updated
07/31/2008
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