Individual
MRS. MARY S HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC/SLP
Contact information
Practice address
65 COLUMBIA AVE, BRUNSWICK, ME 04011-2901
(207) 319-1938
Mailing address
65 COLUMBIA AVE, BRUNSWICK, ME 04011-2901
(207) 319-1938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP361
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891919486
—
ME
Enumeration date
08/06/2010
Last updated
08/06/2010
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