Provider Demographics
NPI:1659964567
Name:HUDSON-WILLIAMS, CONTECIA
Entity Type:Individual
Prefix:MS
First Name:CONTECIA
Middle Name:
Last Name:HUDSON-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 YORKSHIRE BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3529
Mailing Address - Country:US
Mailing Address - Phone:313-736-6040
Mailing Address - Fax:
Practice Address - Street 1:390 YORKSHIRE BLVD APT 204
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3529
Practice Address - Country:US
Practice Address - Phone:313-736-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker