Individual
CAROLYN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 RAVENSWOOD RD, RAVENSWOOD, WV 26164-6140
(304) 531-8588
Mailing address
PO BOX 1065, RAVENSWOOD, WV 26164-3065
(304) 531-8588
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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