Individual
MS. DANIELLE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4104 JUNIUS STREET, DALLAS, TX 75246
(972) 707-7782
Mailing address
4104 JUNIUS STREET, DALLAS, TX 75246
(972) 707-7782
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63120
LMSW
TX
Enumeration date
03/29/2018
Last updated
03/29/2018
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