Individual
MISS KATE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 KELLEY DR, ELBA, AL 36323-3017
(334) 806-1083
Mailing address
1209 KELLEY DR, ELBA, AL 36323-3017
(334) 806-1083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB932065
AL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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