Individual
AMANDA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8650 COLUMBIA AVE, MUNSTER, IN 46321-2518
(219) 836-6260
Mailing address
5113 W 78TH PL, SCHERERVILLE, IN 46375-3335
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10102625
IN
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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