Individual
ELIZABETH MICHELLE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 RAY O VAC DR, STE 220, MADISON, WI 53711-2476
(608) 276-9191
(608) 276-9144
Mailing address
700 RAY O VAC DR, STE 220, MADISON, WI 53711-2476
(608) 276-9191
(608) 276-9144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7367-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43581700
—
WI
Enumeration date
01/17/2008
Last updated
12/01/2020
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