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Individual

HANNAH HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1529 SAM RITTENBERG BLVD STE 1B, CHARLESTON, SC 29407-4125
(803) 550-6924
Mailing address
1674 FOLLY RD APT 302, CHARLESTON, SC 29412-8708
(410) 507-0380

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XIL901345459
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/16/2017
Last updated
05/03/2022
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