Individual
MS. MARY LEE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3019 W MISSIONWOOD LN, 35-A, MIRAMAR, FL 33025-2943
(954) 432-7665
(954) 433-1015
Mailing address
3019 W MISSIONWOOD LN, 35-A, MIRAMAR, FL 33025-2943
(954) 432-7665
(954) 433-1015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685561096
—
FL
05
—
685561098
—
FL
Enumeration date
03/06/2009
Last updated
03/06/2009
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