Individual
GRACE MARIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Mailing address
721 MICHIGAN AVE, NORTH FOND DU LAC, WI 54937-1319
(920) 979-5236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7436-226
WI
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/15/2023
Last updated
06/08/2023
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