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Individual

MS. PAULA BERNICE HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW ACSW

Contact information

Practice address
2675 GREENVILLE ROAD, HOPKINSVILLE, KY 42241-4074
(270) 188-9125
(270) 881-1100
Mailing address
2675 GREENVILLE ROAD PO BOX 4074, HOPKINSVILLE, KY 42241-4074
(270) 188-9125
(270) 881-1100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1014KY
KY
1041C0700X
Clinical Social Worker
KY1014
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100426660
KY
Enumeration date
02/23/2006
Last updated
11/22/2019
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