Individual
MS. ANNIE WALLACE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
960 RAND RD, SUITE 215, DES PLAINES, IL 60016-2352
(847) 699-2100
(847) 699-2180
Mailing address
960 RAND RD, SUITE 215, DES PLAINES, IL 60016-2352
(847) 699-2100
(847) 699-2180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11721218
CAQH
IL
Enumeration date
07/10/2007
Last updated
07/10/2007
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