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Individual

MRS. EBONY H HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2601 MILLWOOD AVE, COLUMBIA, SC 29205
(803) 788-0038
Mailing address
945 NEAR CREEK DR, BLYTHEWOOD, SC 29016-6906
(856) 981-2109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12610
SC
1041C0700X
Clinical Social Worker
44SC05308400
NJ

Other

Enumeration date
03/19/2007
Last updated
08/08/2018
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