Provider Information for 1881880201
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HEATHER HUDSON LCSW
Other Names:Former Name:HEATHER UNGER LCSWSex: Female
NPI: 1881880201
Last Updated: 2018-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881880201 | ||||||||||||
| Enumeration Date | 2007-09-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3493 CAMINO VALENCIA CARLSBAD, CA 92009-6044 United States Phone: 310-291-4062 | Fax: | ||||||||||||
| Primary Practice Address | 3493 CAMINO VALENCIA CARLSBAD, CA 92009-6044 United States Phone: 310-291-4062 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 369 W COMPTON BLVD | ||||||||||||
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