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Individual

MS. CRYSTAL HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
32E, 1200 N TELEGRAPH RD, PONTIAC, MI 48341
(313) 285-4546
Mailing address
32E, 1200 N TELEGRAPH RD, PONTIAC, MI 48341
(313) 285-4546

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
5535479
101YP1600X
Pastoral Counselor
778071
MI
101YP1600X
Pastoral Counselor
MI
247200000X
Other Technician
Primary
MI

Other

Enumeration date
10/23/2017
Last updated
11/11/2022
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