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NPI Code Detail

MEDICARE: CYNTHIA L HUDNUT LSA

MEDICARE:   CYNTHIA L HUDNUT  LSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorW.001273OH

General Provider Information

NPI Number : 1598989915
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA L HUDNUT LSA
Provider Business Mailing Address
First Line : 2233 ROCKY LN
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Provider Business Practice Location Address
First Line : 2233 ROCKY LN
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA L HUDNUT LSA” Practice Location

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