Most Relevant Information
Provider Data
| NPI Number: | 1003535246 |
| Provider Name: | STEPHANIE L BARTZ HUDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | C2-5197 |
Most Important Dates
| Enumeration Date: | 08/23/2022 |
| Last Updated: | 08/23/2022 |
Provider Practice Location
617 PERSIMMON PKWY
HEBRON
IN
463418621
Practice Location Phone/Fax
| Phone: | 2195081964 |
| Fax: |
Provider Mailing Location
617 PERSIMMON PKWY
HEBRON
IN
463418621
Provider Mailing Phone/Fax
| Phone: | 2195081964 |
| Fax: |