Individual
CHAUNCEY JOHNSON HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
120 19TH ST N STE 265, BIRMINGHAM, AL 35203-3227
(205) 546-8265
Mailing address
120 19TH ST N STE 265, BIRMINGHAM, AL 35203-3227
(205) 546-8265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5111G
AL
1041C0700X
Clinical Social Worker
Primary
5249C
AL
Other
Enumeration date
05/06/2021
Last updated
02/24/2023
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