Individual
TIFFANY KAY HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
6502 BALTIMORE AVE, DUNDALK, MD 21222-4001
(410) 269-3631
Mailing address
6502 BALTIMORE AVE, DUNDALK, MD 21222-4001
(410) 269-3631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26476
MD
Other
Enumeration date
11/29/2021
Last updated
01/11/2024
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