Hudson, Mary Lee

Hudson, Mary Lee is an sole proprietor health care provider with primary practice located at 3019 W Missionwood Ln 35-A, Miramar FL 33025-2943. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hudson, Mary Lee can be contacted via phone (954) 432-7665.

Contact Information

Primary practice address
3019 W Missionwood Ln 35-A Miramar FL 33025-2943
Phone: (954) 432-7665
Fax: (954) 433-1015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1790925519
LBN Legal business name Hudson, Mary Lee
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790925519 NPPES
Florida MEDICAID 685561096
Florida MEDICAID 685561098

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