Individual
ANASTACIA HUDGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 PRATHER RD, SOMERSET, KY 42503-6307
(606) 383-0728
Mailing address
170 PRATHER RD, SOMERSET, KY 42503-6307
(606) 383-0728
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
UNKNOWN
KY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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