Individual
MS. TIARA CHANTE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW
Contact information
Practice address
1706 W GILLIGAN AVE, ROGERS, AR 72758-5500
(479) 323-1172
Mailing address
100 N DIXIELAND RD STE D2, BOX 326, ROGERS, AR 72756-1123
(479) 323-1172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10412-C
AR
1041C0700X
Clinical Social Worker
114405
IA
1041C0700X
Clinical Social Worker
2022024976
MO
1041C0700X
Clinical Social Worker
CSW0006558
GA
Other
Enumeration date
04/11/2019
Last updated
10/10/2022
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