Individual
CHANIQUA LACHELL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
327 S 9TH ST STE 120, GRIFFIN, GA 30224-4111
(404) 490-2537
(404) 393-4868
Mailing address
PO BOX 348, GRIFFIN, GA 30224-0009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006261
GA
Other
Enumeration date
08/06/2013
Last updated
09/09/2024
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